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Alabama rates for HCPCS J1620

Injection Gonadorelin Hydrochloride Per 100 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.72 / $180.72 / $180.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.34 / $180.72 / $300.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.00 / $181.00 / $181.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.13 / $336.13 / $336.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $180.30