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North Carolina rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,967.62 / $3,827.86 / $5,714.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,201.86 / $3,660.83 / $4,410.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,190.87 / $5,499.49 / $7,415.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,149.17 / $2,149.17 / $3,741.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,611.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,201.86 / $4,356.39 / $4,953.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.77 / $320.77 / $320.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,759.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,869.59 / $4,869.59 / $18,304.15