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California 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
$176.47 / $397.58 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.69 / $176.47 / $300.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.71 / $191.73 / $217.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.72 / $180.72 / $428.31
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $143.27 / $255.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.70 / $183.70 / $455.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $150.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.71 / $212.61 / $212.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.29 / $252.35 / $417.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.33 / $393.33 / $425.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $371.60