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Delaware 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
$1,730.31 / $5,371.96 / $16,482.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.31 / $1,730.31 / $4,049.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $1,730.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.78 / $1,666.78 / $1,666.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.60 / $1,834.14 / $2,595.48