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Michigan 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
$144.63 / $145.22 / $451.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $145.22 / $169.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.79 / $307.51 / $585.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.47 / $143.65 / $143.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $182.95 / $402.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $144.63 / $169.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $156.94 / $180.49