go back

South Carolina rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $199.53 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $50.12 / $51.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $19.05 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.47 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $9.77 / $36.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $47.86 / $72.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $53.70 / $56.23