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South Carolina rates for HCPCS J9269

Injection Tagraxofusp-Erzs 10 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.78 / $374.78 / $1,479.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.18 / $356.93 / $374.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.24 / $322.49 / $534.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $384.83 / $467.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.73 / $356.93 / $406.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $370.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $356.93 / $570.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.02 / $291.02 / $518.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.24 / $333.79 / $358.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.39 / $377.28 / $405.08