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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
$81.28 / $112.20 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $77.62 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $77.62 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $83.18 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $91.20 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $85.11