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South Carolina rates for HCPCS J7201

Injection Factor Ix Fc Fusion Protein (Recombinant) Alprolix 1 I.U. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.77 / $15.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.77 / $5.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $4.63 / $7.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.49 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $4.51 / $9.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59