go back

Idaho rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,772.85 / $3,772.85 / $6,225.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.85 / $4,199.00 / $4,771.60
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,199.00 / $5,057.89 / $6,823.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,199.01 / $4,771.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $3,506.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,456.18 / $5,149.13 / $8,581.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,580.72 / $4,580.72 / $4,771.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,249.43