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New Hampshire 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 / $157.28 / $280.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.05 / $253.78 / $639.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $140.99 / $140.99
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 / $140.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.93 / $228.97 / $435.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.31 / $140.99 / $149.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $148.47 / $188.97