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West 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
$140.43 / $140.43 / $142.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $142.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.99 / $211.49 / $211.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $140.99 / $155.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $264.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.64 / $156.76 / $184.42