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South Carolina rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.75 / $304.75 / $1,232.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $315.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.49 / $282.68 / $471.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.89 / $353.07 / $441.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $333.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $191.19 / $426.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.00 / $20.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.75 / $304.75 / $380.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.25 / $328.29 / $372.89