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South Carolina rates for HCPCS J9280

Injection, mitomycin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.37 / $168.11 / $3,591.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.96 / $28.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $59.43 / $184.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $31.35 / $161.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $20.35 / $64.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $25.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $70.00 / $191.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.99 / $88.66 / $140.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $29.68 / $64.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $21.57 / $24.50