go back

South Carolina rates for HCPCS J1322

Elosulfase Alfa, Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.36 / $324.12 / $1,302.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.70 / $324.12 / $497.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.05 / $347.21 / $563.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.88 / $361.68 / $422.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $308.68 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.12 / $356.53 / $746.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.03 / $438.03 / $438.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.94 / $308.68 / $308.68