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South Carolina rates for HCPCS Q2049

Injection Doxorubicin Hydrochloride Liposomal Imported Lipodox 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.99 / $471.99 / $471.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.48 / $471.99 / $489.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.16 / $719.76 / $1,334.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.12 / $592.87 / $735.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.43 / $508.43 / $740.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $508.43 / $527.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.99 / $498.26 / $660.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.26 / $498.26 / $544.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.26 / $610.14 / $645.89