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South Carolina rates for HCPCS J1575

Hyqvia 100mg Immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $78.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.87 / $19.05 / $29.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.74 / $27.00 / $44.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $26.33 / $33.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.87 / $44.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $26.99 / $26.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $20.32