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South Carolina rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $269.15 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $204.17 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $229.09 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $194.98 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $218.78