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Ohio 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 / $393.33 / $537.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $170.09 / $472.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $286.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,749.49 / $59,499.41 / $61,249.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.76 / $189.76 / $189.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $212.61