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South Carolina rates for HCPCS J3315

Triptorelin Pamoate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.58 / $498.58 / $2,088.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.64 / $479.58 / $498.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.77 / $917.60 / $1,484.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $736.88 / $1,197.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $474.84 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.91 / $534.00 / $1,185.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.77 / $589.77 / $589.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $528.60