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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
$59.37 / $59.37 / $240.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $60.09 / $64.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.59 / $75.64 / $139.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.67 / $69.70 / $87.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $87.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.38 / $60.09 / $100.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.38 / $45.38 / $111.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $63.96 / $73.86