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Arkansas rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.11 / $569.80 / $590.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $479.58 / $569.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.66 / $533.66 / $533.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.42 / $533.66 / $533.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.02 / $474.84 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $880.80