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South Carolina rates for HCPCS J9317

Injection Sacituzumab Govitecan-Hziy 2.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.09 / $25,631.52 / $25,631.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $36.64 / $43.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.43 / $36.34 / $58.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.59 / $49.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.28 / $42.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $37.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.04 / $36.28 / $57.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $28.04 / $54.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.90 / $37.69 / $88.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $38.46 / $48.25