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South Carolina rates for HCPCS J1410

Injection Estrogen Conjugated Per 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.67 / $2,139.53 / $4,548.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.78 / $411.67 / $633.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.48 / $226.44 / $434.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $452.26 / $536.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $392.06 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $411.67 / $972.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.63 / $597.63 / $597.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06