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Colorado 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
$170.09 / $170.09 / $656.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $170.09 / $170.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $180.30
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.09 / $170.09 / $265.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $171.00 / $171.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $180.30