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Louisiana rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $506.66 / $1,087.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $479.59 / $595.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.79 / $518.79 / $778.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.79 / $518.79 / $529.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $666.62 / $666.62
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $668.11