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South Carolina rates for HCPCS J9354

Injection Ado-Trastuzumab Emtansine 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.06 / $159.88 / $24,106.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $42.58 / $53.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.11 / $41.11 / $41.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.12 / $41.87 / $72.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $45.49 / $55.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.77 / $42.16 / $57.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $44.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.17 / $42.16 / $66.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.17 / $29.17 / $59.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.48 / $43.52 / $101.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.11 / $41.11 / $67.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $44.69 / $52.70