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South Carolina rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,630.78 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,162.28 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,162.28 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,511.89 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,754.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $4,168.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $4,265.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $6,309.57 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,691.53 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,691.53 / $2,951.21