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Kansas rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.74 / $925.12 / $2,164.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $484.33 / $664.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.88 / $481.81 / $532.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.28 / $520.28 / $520.28
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.33 / $612.53 / $823.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.63 / $521.41 / $893.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $879.36