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North Carolina 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
$1,480.89 / $4,548.80 / $9,692.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.89 / $1,747.63 / $4,487.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.65 / $2,835.07 / $3,539.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,632.38 / $1,730.32 / $1,730.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $2,161.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.89 / $2,059.08 / $2,377.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.70 / $492.70 / $492.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.26 / $2,756.00 / $2,866.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,834.14 / $2,076.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,301.66 / $2,301.66 / $8,651.60