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Alaska rates for HCPCS J1952

Leuprolide injectable, camcevi, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.53 / $94.65 / $334.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $78.92 / $146.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $78.92 / $78.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.90 / $209.90 / $209.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $78.92 / $254.12
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.38 / $170.80 / $268.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.98 / $209.90 / $402.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $78.92 / $85.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.85 / $118.38 / $236.76