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New York 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 / $171.33 / $280.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $169.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.79 / $112.79 / $140.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.81 / $140.99 / $140.99
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.05 / $127.05 / $133.40
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.05 / $127.05 / $127.05
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $186.21 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $193.93
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $133.01 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $191.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $149.44 / $188.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99