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South Carolina rates for HCPCS J2323

Tysabri IV CONC 300 MG/15ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.72 / $25.20 / $102.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $24.23 / $30.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $25.49 / $40.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $31.26 / $38.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $24.00 / $24.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $27.72 / $61.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $40.69 / $40.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.98 / $23.98 / $23.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00