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Missouri 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 / $2,290.87 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,905.46 / $6,165.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,778.28 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,778.28 / $2,238.72