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South Carolina rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $213.80 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $60.26 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $79.43 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $72.44 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $51.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $64.57 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $67.61