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South Carolina rates for HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.84 / $214.84 / $871.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.84 / $212.87 / $257.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.24 / $317.54 / $585.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $235.37 / $282.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.03 / $204.61 / $204.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $204.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.61 / $214.84 / $339.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.98 / $195.98 / $225.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.19 / $168.32 / $287.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $204.61 / $204.61