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South Carolina rates for HCPCS J1562

Injection Immune Globulin Intravenous 5 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $9.13 / $36.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $9.13 / $9.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.97 / $24.13 / $41.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $12.00 / $14.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $10.96 / $13.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13