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Louisiana rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,810.58 / $5,281.99 / $11,546.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.85 / $3,855.45 / $4,565.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.00 / $2,597.76 / $3,856.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,856.64 / $3,856.64 / $3,933.77
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.37 / $3,817.28 / $4,886.12