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West Virginia rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.59 / $496.82 / $925.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $479.58 / $527.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $712.26 / $712.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $474.84 / $932.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $865.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $1,036.23