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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
$586.38 / $586.38 / $2,371.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.95 / $586.38 / $904.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.80 / $789.00 / $1,385.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $645.98 / $763.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.94 / $645.02 / $1,366.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46