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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
$58.91 / $58.91 / $243.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $58.91 / $58.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.25 / $69.76 / $111.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $70.13 / $79.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $56.10 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.91 / $70.69 / $134.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.31 / $85.31 / $85.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.06 / $120.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10