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South Carolina rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $48.98 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $18.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $19.50 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.50 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.22 / $18.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $15.14