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South Carolina rates for HCPCS J1559

Injection Immune Globulin (Hizentra) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $15.05 / $59.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $15.05 / $22.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $25.18 / $44.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $23.20 / $31.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.18 / $16.55 / $33.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.63 / $20.63 / $20.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $16.05