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North Carolina rates for HCPCS J0490

Belimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.21 / $53.96 / $3,815.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.21 / $56.63 / $3,274.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.11 / $100.82 / $135.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.76 / $44.76 / $57.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $56.07 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $64.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.21 / $66.72 / $69.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $38.32 / $38.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.06 / $67.06 / $90.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $86.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $280.35