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Indiana rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.59 / $1,120.15 / $2,235.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $479.58 / $479.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $949.68 / $1,258.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.61 / $474.84 / $674.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $712.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $593.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $1,025.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.55 / $474.84 / $1,283.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $528.60 / $828.98