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South Carolina rates for HCPCS J1568

Octagam Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.90 / $49.90 / $205.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $48.00 / $71.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.46 / $115.70 / $191.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $99.07 / $127.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $47.52 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.79 / $54.89 / $124.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $72.81 / $72.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $53.23