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Alaska rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,947.33 / $6,947.33 / $24,561.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,810.58 / $7,100.14 / $8,795.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,153.20 / $10,153.20 / $10,153.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $12,291.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,243.34 / $6,243.34 / $9,810.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,561.01 / $7,944.30 / $13,108.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,141.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,249.43 / $5,725.92 / $11,451.84