go back

South Carolina rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Facilitymedian $5,129 · 10th–90th $3,467–$11,2200%10%20%10th90th$5,129Professionalmedian $4,898 · 10th–90th $4,677–$5,7540%50%10th90th$4,898$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $17,378.01 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,897.79 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $5,754.40 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,754.40 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,413.10 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $3,548.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,128.61 / $7,585.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,128.61 / $5,623.41