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Illinois rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $830.97 / $1,647.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $479.58 / $527.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.23 / $1,572.76 / $7,091.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $712.26 / $1,049.59
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.29 / $617.29 / $617.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $821.47