go back

South Carolina rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.23 / $123.23 / $497.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.73 / $123.23 / $189.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.95 / $138.74 / $220.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $139.35 / $160.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.72 / $117.36 / $117.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.23 / $135.55 / $284.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.67 / $186.67 / $186.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36