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South Carolina rates for HCPCS J7307

Etongestrel (Contraceptive) Implant System. Including Implant And Supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $3,558.10 / $5,306.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.00 / $1,214.63 / $1,402.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.05 / $1,166.05 / $1,166.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.04 / $1,187.75 / $2,046.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.65 / $1,457.56 / $1,749.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,238.93 / $1,506.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.23 / $673.23 / $1,300.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.38 / $1,200.33 / $1,534.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.85 / $1,214.63 / $1,214.63