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Vermont rates for HCPCS J1951

Injection Leuprolide Acetate For Depot Suspension(Fensolvi) 0.25 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $241.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.61 / $159.61 / $159.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $151.99 / $253.31
Cigna
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 / $151.99 / $253.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $146.63 / $156.94