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South Carolina rates for HCPCS J1428

Inj, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.44 / $157.44 / $636.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.44 / $163.19 / $163.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.03 / $230.69 / $375.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.44 / $188.93 / $212.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.60 / $161.60 / $202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00