go back

North Carolina 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
$132.00 / $155.51 / $243.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $140.99 / $169.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.05 / $273.57 / $367.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.38 / $148.38 / $148.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $140.99 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $182.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.00 / $167.78 / $201.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.97 / $121.97 / $121.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $149.44 / $183.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.54 / $190.85 / $704.95