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Kentucky rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $807.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $474.84 / $496.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.54 / $559.95 / $949.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.61 / $474.84 / $474.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $516.00 / $759.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $522.32 / $731.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $932.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.74 / $474.84 / $865.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $528.60