go back

South Carolina rates for HCPCS J2840

Injection Sebelipase Alfa 1 Mg (Reinstated 01/01/2017). Savacort-50 Up To 50 Mg (Del 03/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.33 / $502.33 / $2,030.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.33 / $520.71 / $520.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.85 / $753.35 / $1,249.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.09 / $612.60 / $735.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $612.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.33 / $602.79 / $678.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.77 / $944.77 / $944.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.33 / $502.33 / $627.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $510.50