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South Carolina rates for HCPCS 90284

Immune Globulin Human Subq Infusion 100 Mg Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $15.17 / $15.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $10.42 / $13.66
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 / $16.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $17.52 / $20.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $17.62 / $23.60