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Kentucky 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 / $2,941.54 / $8,518.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.31 / $1,730.32 / $2,180.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.86 / $2,040.48 / $3,460.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.77 / $1,730.32 / $1,730.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.32 / $1,903.35 / $2,768.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,816.84 / $2,422.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $1,837.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.09 / $1,730.32 / $3,158.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,834.14 / $1,926.21