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South Carolina rates for HCPCS J1951

Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.04 / $148.04 / $596.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $148.04 / $148.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.80 / $165.58 / $260.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $182.95 / $199.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $140.99 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.04 / $177.65 / $357.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.34 / $222.34 / $222.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $149.44 / $156.94