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Kansas 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
$1,000.57 / $2,422.44 / $10,726.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.31 / $1,764.93 / $2,422.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.67 / $1,896.36 / $2,027.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.80 / $1,877.80 / $1,877.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,632.38 / $1,632.38 / $1,730.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $1,730.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.23 / $1,692.61 / $2,431.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.30 / $1,841.33 / $2,111.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.30 / $1,670.30 / $1,670.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,834.14 / $2,154.50