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South Carolina rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $88.80 / $358.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $85.42 / $104.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.63 / $83.17 / $134.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $93.68 / $113.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $79.78 / $84.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $87.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.27 / $88.80 / $160.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.27 / $62.27 / $145.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $86.02 / $152.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $89.64 / $98.61