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Kansas rates for HCPCS J3316

Injection Triptorelin Extended-Release 3.75 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,848.31 / $5,344.19 / $16,600.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,893.62 / $5,344.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,415.16 / $3,790.40 / $4,017.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,947.06 / $3,947.06 / $3,947.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.20 / $3,601.20 / $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
$3,747.31 / $3,772.85 / $5,281.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,506.04 / $3,999.22 / $4,460.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,046.32 / $7,069.22