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South Carolina rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.94 / $626.15 / $1,022.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.09 / $6.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $14.87 / $25.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $9.01 / $13.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $5.74 / $12.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86