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South Carolina rates for HCPCS J1566

Injection Immune Globulin Intravenous Lyophilized (E.G. Powder) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.60 / $82.73 / $346.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.17 / $82.73 / $108.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.21 / $93.94 / $142.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $114.38 / $140.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $78.79 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.90 / $91.00 / $208.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.78 / $121.78 / $121.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $88.26