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South Carolina rates for HCPCS J2507

Pegloticase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,063.44 / $3,843.88 / $15,447.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.68 / $3,808.72 / $5,027.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.42 / $966.38 / $3,898.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $4,576.04 / $5,051.96
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 / $3,660.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.66 / $4,228.27 / $8,844.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,195.07 / $5,195.07 / $5,195.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83