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Connecticut 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
$146.63 / $219.34 / $394.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $146.63 / $146.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.18 / $214.33 / $422.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $146.31 / $176.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.89 / $149.10 / $169.67