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South Carolina rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $12,048.12 / $28,066.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $35.75 / $57.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $64.09 / $151.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.48 / $34.38 / $86.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $34.04 / $34.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $44.59 / $126.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.82 / $115.82 / $115.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.03 / $34.03 / $34.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04