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Florida 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
$1,730.32 / $3,474.20 / $6,491.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $2,345.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,632.38 / $1,730.32 / $1,750.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $1,730.32
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.33 / $1,730.32 / $1,730.32
Florida Blue
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
$1,730.32 / $1,782.23 / $1,926.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $1,737.10