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South Carolina rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $831.76 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $645.65 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $562.34 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $616.60