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South Carolina rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Facilitymedian $2 · 10th–90th $1–$50%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.74 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.51 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.32 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.78 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.41 / $3.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.23 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.23 / $1.35