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Idaho rates for HCPCS J3315

Triptorelin Pamoate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.90 / $491.90 / $565.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $517.57 / $595.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $447.96 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.68 / $593.54 / $848.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $593.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.63 / $687.77 / $1,146.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.80 / $569.80 / $593.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $528.60