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South Carolina rates for HCPCS J1571

Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $93.33 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $69.18 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $123.03 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $93.33 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $81.28 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $69.18 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $69.18 / $77.62