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Massachusetts rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $660.03 / $5,120.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $493.83 / $590.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.79 / $975.89 / $1,573.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $880.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.50 / $605.90 / $1,291.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $481.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $777.20 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.25 / $474.84 / $986.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.89 / $975.89 / $2,374.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $880.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $880.80