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Missouri rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.08 / $925.12 / $1,151.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $484.33 / $1,010.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $807.23 / $1,705.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $593.54
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.90 / $823.36 / $2,358.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.17 / $491.90 / $614.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $502.17 / $724.13