go back

Arizona rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,084.49 / $7,594.76 / $11,451.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,150.14 / $4,199.00 / $4,980.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,210.86 / $13,042.74 / $21,007.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.83 / $3,652.12 / $24,282.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.20 / $3,817.28 / $3,817.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,772.85 / $4,663.68 / $5,934.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.85 / $3,772.85 / $4,162.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28