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Tennessee 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 / $176.94 / $306.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $169.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.59 / $671.30 / $704.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $149.44 / $180.47