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Mississippi rates for HCPCS J1950

Injection Leuprolide Acetate (For Depot Suspension) Per 3.75 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.75 / $1,816.84 / $5,131.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.31 / $1,816.84 / $2,335.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.12 / $1,005.12 / $1,105.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.15 / $1,730.32 / $1,730.32
Cigna
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 / $1,799.53 / $2,284.02