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South Carolina rates for HCPCS Q9992

Injection Buprenorphine Extended-Release (Sublocade) Greater Than 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,896.00 / $2,117.23 / $8,390.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.85 / $2,016.42 / $2,117.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.43 / $2,275.73 / $3,593.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,540.81 / $2,782.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.23 / $2,540.69 / $4,935.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,127.30 / $3,127.30 / $3,127.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42