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South Carolina rates for HCPCS J9270

Plicamycin 2.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.97 / $80.97 / $327.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $80.97 / $83.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.78 / $118.55 / $129.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.56 / $96.61 / $118.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.93 / $83.93 / $83.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $88.87 / $104.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.97 / $98.74 / $117.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $104.00 / $201.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.93 / $104.66 / $117.50