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South Carolina rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $131.69 / $602.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.89 / $2,247.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.59 / $46.82 / $71.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $46.94 / $54.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.66 / $35.57 / $60.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.66 / $30.66 / $43.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $36.45 / $86.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $33.88 / $35.24