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South Carolina rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.94 / $11,016.39 / $11,126.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.28 / $135.94 / $177.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.23 / $155.61 / $245.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $147.18 / $176.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $129.47 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.94 / $149.55 / $326.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.21 / $217.21 / $217.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47