go back

Kansas 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 / $212.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $170.09 / $212.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.06 / $253.01 / $293.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.61 / $212.61 / $212.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.09 / $212.61 / $253.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $208.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $212.61