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Massachusetts 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
$1,778.28 / $4,466.84 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,819.70 / $15,488.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $5,888.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,691.53 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $3,090.30
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,951.21 / $20,417.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $5,888.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,778.28 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $2,630.27