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Rhode Island rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.23 / $1,543.23 / $2,007.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $479.58 / $493.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.90 / $491.90 / $932.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
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 / $474.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $528.60