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South Carolina rates for HCPCS J9320

Streptozocin 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.13 / $1,279.20 / $1,389.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.18 / $1,279.20 / $1,326.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.56 / $198.53 / $437.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.22 / $1,482.00 / $1,800.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,326.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.00 / $365.93 / $1,482.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $156.00 / $608.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $360.83 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.00 / $1,378.00 / $1,447.17