go back

Arizona rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.08 / $949.68 / $1,424.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $522.32 / $1,010.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.88 / $1,641.52 / $2,688.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.36 / $476.16 / $3,020.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $474.84 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.92 / $756.25 / $975.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.90 / $491.90 / $542.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $491.90