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South Carolina rates for HCPCS J0220

Injection Aglucosidase Alfa 10 Mg Not Otherwise Specified (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $268.52 / $268.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.50 / $315.70 / $616.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.92 / $234.00 / $280.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.70 / $206.70 / $206.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.70 / $206.70 / $206.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.30 / $222.30 / $247.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.87 / $204.87 / $204.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.50 / $214.50 / $268.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00