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South Carolina rates for HCPCS J9228

Ipilimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.56 / $44,244.93 / $44,244.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.45 / $185.31 / $231.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.21 / $180.21 / $180.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.99 / $191.46 / $328.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $206.44 / $250.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $183.48 / $216.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $194.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.16 / $183.48 / $312.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.16 / $125.16 / $281.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.59 / $185.81 / $442.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.63 / $194.49 / $204.25