go back

North Dakota rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $398.11 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $512.86 / $575.44