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Tennessee rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $639.47 / $1,045.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $595.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.44 / $1,034.44 / $1,034.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $474.84 / $481.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.89 / $2,374.19 / $2,374.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $880.80