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Colorado rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $978.88 / $1,246.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $479.58 / $595.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.15 / $816.72 / $1,519.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $447.96 / $648.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.52 / $503.33 / $787.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.13 / $522.32 / $778.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84