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South Carolina rates for HCPCS J7188

Injection Factor Viii (Antihemophilic Factor Recombinant) (Obizur) Per I.U. (Reinstated 01/01/2016) Injection Von Willebrand Factor Complex Human Iu (Del 12/31/06)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $13.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.39 / $5.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $7.52 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.54 / $4.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.23 / $3.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.73 / $8.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23