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South Carolina rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $49.60 / $421.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $49.60 / $51.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.53 / $17.29 / $66.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.68 / $41.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $28.00 / $96.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $28.00 / $58.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $30.00 / $130.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $53.42 / $56.55