go back

Wyoming rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.90 / $491.90 / $491.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $491.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.03 / $1,096.50 / $1,096.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $447.96 / $447.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $671.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $528.60