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Minnesota 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 / $983.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $1,010.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.87 / $546.04 / $1,212.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.52 / $467.31 / $491.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.71 / $730.08 / $1,488.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.33 / $548.15 / $610.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.10 / $1,171.67 / $1,704.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.53 / $480.53 / $653.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.02 / $491.90 / $831.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.90 / $547.59 / $941.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $528.60 / $880.80