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South Carolina rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.32 / $520.32 / $2,098.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.87 / $520.32 / $676.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.91 / $576.13 / $935.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.12 / $560.99 / $673.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.32 / $572.35 / $1,230.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.59 / $809.59 / $809.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55