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Arkansas rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,527.42 / $4,580.72 / $4,753.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,580.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,093.18 / $4,093.18 / $4,093.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.34 / $4,093.18 / $4,093.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,929.14 / $3,817.28 / $3,817.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,046.32 / $4,886.12