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South Carolina rates for HCPCS J9274

Injection Tebentafusp-Tebn 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.94 / $227.94 / $921.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.86 / $217.09 / $227.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.44 / $224.55 / $356.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $239.29 / $290.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.80 / $204.80 / $217.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $225.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.18 / $217.09 / $351.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.18 / $170.18 / $272.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.87 / $220.18 / $518.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.53 / $230.12 / $243.60