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North Carolina rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.61 / $78.00 / $128.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.61 / $78.00 / $96.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.97 / $129.93 / $161.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $83.88 / $83.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $91.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.61 / $94.32 / $100.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $64.70 / $64.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $103.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.43 / $105.43 / $396.30