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Georgia 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 / $176.47 / $176.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $176.47 / $176.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.29 / $180.29 / $183.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $132.00 / $205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $224.20