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South Carolina rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.22 / $83.22 / $337.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.61 / $83.22 / $128.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.05 / $78.59 / $124.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.48 / $91.47 / $108.39
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 / $79.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.22 / $91.54 / $195.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.94 / $115.94 / $115.94
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 / $79.26