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Wyoming 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
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $141.25 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $154.88