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South Carolina rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 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
$69.18 / $72.44 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $120.23 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $93.33 / $109.65
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 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $83.18 / $109.65
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