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South Carolina rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $69.18 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $51.29 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $9.33 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $61.66 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $58.88 / $112.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $51.29 / $56.23