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South Carolina rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $79.43 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $56.23 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $69.18 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $66.07 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $70.79 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $56.23 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $56.23 / $61.66