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South Carolina rates for HCPCS J9202

Goserelin Acetate Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.70 / $2,434.25 / $3,678.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.59 / $741.00 / $888.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.16 / $734.16 / $734.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.36 / $713.69 / $1,201.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $795.88 / $955.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $733.67 / $984.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $761.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.87 / $561.59 / $1,261.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.00 / $492.00 / $950.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.39 / $770.85 / $1,834.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.62 / $777.69 / $883.34