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South Carolina rates for HCPCS J9301

Obinutuzumab Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.58 / $82.95 / $333.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.91 / $79.79 / $94.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.01 / $83.34 / $136.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $102.60 / $118.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $79.00 / $89.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $81.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.24 / $79.00 / $134.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $54.24 / $112.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.97 / $82.95 / $196.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $83.74 / $91.80