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South Carolina rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Facilitymedian $2 · 10th–90th $1–$40%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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 / $2.57 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.41 / $2.75
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.00 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.63 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.95
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.95 / $2.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.68 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.86 / $1.86