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Ohio rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $1,030.40 / $3,133.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $479.58 / $629.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.83 / $764.49 / $1,187.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $800.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $807.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $641.03
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 / $1,383.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.29 / $481.29 / $1,984.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $1,383.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.32 / $614.87 / $688.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $528.60 / $588.47