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North Carolina rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.95 / $13.95 / $16.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $13.95 / $15.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $28.11 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $11.51 / $15.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $17.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.95 / $14.79 / $19.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $13.68 / $13.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.79 / $38.20 / $38.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $17.16 / $23.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $214.27 / $214.27