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South Carolina rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.48 / $534.20 / $2,145.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.90 / $534.20 / $818.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.52 / $607.07 / $1,077.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $596.88 / $695.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.64 / $587.62 / $1,231.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.84 / $720.84 / $720.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76