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South Carolina rates for HCPCS J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.00 / $1,899.08 / $7,681.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.62 / $1,899.08 / $2,931.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.49 / $1,827.42 / $3,196.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.99 / $2,108.21 / $2,473.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.27 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.94 / $1,899.08 / $4,609.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,669.56 / $2,669.56 / $2,669.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,025.69