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Kentucky 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 / $361.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $170.09 / $176.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.11 / $212.61 / $212.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.22 / $180.30 / $180.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $47,999.52 / $55,999.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.29 / $180.29 / $180.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $191.35 / $196.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $180.30