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Mississippi 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
$174.34 / $255.13 / $255.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.34 / $180.72 / $255.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.00 / $213.00 / $234.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.33 / $198.33 / $198.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.09 / $180.30 / $230.78