| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.09 | $170.09 | $170.09 | |
BCBS
| Professional | $180.72 | $212.61 | $212.61 | |
United
| Professional | $180.30 | $180.30 | $180.30 |
Injection Gonadorelin Hydrochloride Per 100 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.09 | $170.09 | $170.09 | |
BCBS
| Professional | $180.72 | $212.61 | $212.61 | |
United
| Professional | $180.30 | $180.30 | $180.30 |