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South Carolina rates for HCPCS J9266

Pegaspargase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,580.80 / $29,845.26 / $120,664.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,577.01 / $28,424.10 / $29,845.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.22 / $10,090.46 / $30,553.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $30,569.27 / $35,766.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,815.15 / $28,424.06 / $32,484.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $29,236.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.00 / $19,579.52 / $37,898.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.00 / $1,699.00 / $37,731.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,226.98 / $28,567.73 / $64,826.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,160.45 / $30,129.50 / $31,894.92