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Virginia 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 / $161.02 / $320.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $148.04 / $148.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $297.49 / $479.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.52 / $217.93 / $328.88
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.84 / $169.19 / $184.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $140.99 / $225.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.94 / $146.54 / $180.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.94 / $146.54 / $180.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $149.44 / $183.29