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Idaho 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
$140.43 / $140.43 / $161.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $155.09 / $176.24
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.09 / $186.81 / $252.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $176.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.00 / $210.00 / $357.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.19 / $169.19 / $176.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $156.94