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Illinois 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 / $211.49 / $366.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $140.99 / $170.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.60 / $570.86 / $2,828.89
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.84 / $182.95 / $302.36
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.29 / $183.29 / $183.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $149.10 / $165.98