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Florida rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $816.55 / $1,130.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $522.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $474.84 / $505.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.92 / $474.84 / $474.84
Florida Blue
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 / $636.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $491.90 / $491.90