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South Carolina rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $794.33 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $831.76 / $1,122.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $75.86 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $794.33 / $794.33