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North Carolina rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.64 / $733.21 / $4,025.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.64 / $474.84 / $733.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.70 / $845.98 / $1,352.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.64 / $295.64 / $575.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $474.84 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $1,096.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.64 / $565.05 / $1,206.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.38 / $156.38 / $156.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $626.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.89 / $975.89 / $2,374.19