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Missouri 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 / $182.95 / $192.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $145.22 / $182.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $239.68 / $506.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $176.24
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 / $671.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.09 / $140.43 / $167.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $180.73