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Connecticut 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 / $271.42 / $594.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.72 / $180.72 / $180.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.22 / $180.30 / $225.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.82 / $223.82 / $223.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.68 / $181.68 / $181.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.27 / $180.30 / $200.13