go back

South Carolina rates for HCPCS J1632

Injection Brexanolone 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $73.31 / $296.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $75.98 / $75.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.82 / $98.32 / $150.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.67 / $89.40 / $107.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $87.97 / $98.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.68 / $127.68 / $127.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $91.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50