go back

Mississippi 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
$148.04 / $168.51 / $169.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $148.04 / $190.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.41 / $120.41 / $130.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $140.99 / $163.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $143.81 / $186.11