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South Carolina rates for HCPCS J1571

Hepagam B Im Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.97 / $69.97 / $304.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.34 / $69.97 / $116.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $117.44 / $202.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $100.48 / $116.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.24 / $76.97 / $174.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.80 / $128.80 / $128.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $74.64