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Arkansas rates for HCPCS J1950

Injection, leuprolide acetate (for depot suspension), per 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.75 / $1,997.66 / $2,084.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,747.63 / $2,076.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,051.55 / $2,051.55 / $2,051.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.33 / $2,051.55 / $2,051.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.03 / $1,632.38 / $1,730.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $1,730.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.80 / $1,831.33 / $2,214.81