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Kansas 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
$143.22 / $182.95 / $617.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $143.81 / $197.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.74 / $158.00 / $164.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.78 / $145.78 / $145.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $133.01 / $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
$140.43 / $165.94 / $196.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.26 / $148.86 / $180.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $149.44 / $184.42