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North Dakota 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 / $252.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $169.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.96 / $153.72 / $155.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.02 / $153.50 / $154.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $138.16 / $171.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.63 / $140.43 / $238.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $156.33 / $169.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $156.94 / $170.46