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Washington, DC 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
$140.99 / $396.01 / $533.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $217.93 / $368.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $133.01 / $140.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.84 / $119.84 / $140.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.58 / $156.94 / $207.54