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New Jersey rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $693.58 / $1,342.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $479.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.51 / $474.84 / $567.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.63 / $2,014.51 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.59 / $491.90 / $491.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.22 / $428.22 / $522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $516.15 / $1,036.23