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Arkansas rates for HCPCS J1951

Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.49 / $169.19 / $170.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $169.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.35 / $152.35 / $152.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.32 / $152.35 / $152.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $140.99 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $149.44 / $180.47