go back

New York rates for HCPCS J3121

Injection, testosterone enanthate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $138.04 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06