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Minnesota 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 / $140.99 / $280.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $152.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.97 / $133.63 / $204.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.34 / $140.43 / $140.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.20 / $456.39 / $555.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.16 / $168.12 / $173.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.76 / $416.49 / $522.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $186.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.43 / $140.43 / $237.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $156.33 / $268.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $156.94 / $261.39