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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
$467.74 / $630.96 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $549.54 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $758.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $489.78 / $512.86