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South Carolina rates for HCPCS J1557

Gammaplex Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.87 / $66.87 / $265.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.01 / $66.87 / $101.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $113.87 / $191.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $108.96 / $146.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $63.68 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.14 / $73.56 / $147.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.90 / $88.90 / $88.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $71.31