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Kentucky 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 / $3,817.28 / $6,489.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,321.43 / $4,501.50 / $7,634.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,244.68 / $3,817.28 / $3,817.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $4,148.08 / $6,107.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,199.01 / $5,878.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.60 / $3,817.28 / $3,817.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $5,195.97 / $5,195.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,046.32 / $4,249.43