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South Carolina rates for HCPCS J3316

Injection Triptorelin Extended-Release 3.75 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,008.14 / $4,008.14 / $16,016.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,092.44 / $4,008.14 / $4,008.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.28 / $3,760.27 / $6,011.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,459.53 / $5,220.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.20 / $3,817.28 / $3,817.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,008.14 / $4,459.53 / $5,410.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,367.69 / $5,367.69 / $5,367.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,046.32 / $4,249.43