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Pennsylvania rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Facilitymedian $794 · 10th–90th $468$1,4130%10%10th90th$794Professionalmedian $468 · 10th–90th $468$6460%50%90th$468$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $891.25 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $645.65
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $707.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $501.19 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,659.59 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $812.83 / $812.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $977.24
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $660.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $707.95 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $512.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $436.52 / $549.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $436.52 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $501.19 / $851.14