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Arizona 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
$150.86 / $281.98 / $422.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $155.09 / $185.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.34 / $356.52 / $702.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.46 / $135.94 / $896.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.11 / $140.99 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.21 / $178.59 / $220.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $140.43 / $154.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99