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Texas rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $854.53 / $1,102.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $479.59 / $670.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.26 / $1,575.67 / $3,143.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.89 / $922.89 / $922.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.62 / $666.62 / $666.62
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.89 / $2,358.15 / $2,374.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.27 / $491.90 / $699.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.93 / $474.84 / $871.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.05 / $474.84 / $679.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.73 / $474.84 / $860.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $528.60 / $528.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.29 / $481.29 / $641.03