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South Carolina rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $25.70 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $18.20 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $25.70 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $26.30 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.91 / $50.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $18.20 / $20.42