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South Carolina rates for HCPCS J1569

Gammagard Liquid Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.92 / $9,780.16 / $16,684.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $46.50 / $57.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.52 / $105.61 / $184.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.58 / $86.45 / $114.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $52.34 / $126.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.67 / $81.67 / $81.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $50.75