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South Carolina rates for HCPCS J9340

Thiotepa 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.52 / $264.66 / $317.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $105.07 / $360.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $103.00 / $534.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $257.30 / $612.62