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Massachusetts rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $5,294.82 / $7,234.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,969.97 / $4,527.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,376.33 / $5,077.71 / $12,646.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.37 / $3,817.28 / $4,697.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,095.94 / $4,870.85 / $10,383.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $4,904.71 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $7,927.73
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,077.71 / $5,077.71 / $19,086.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.37 / $4,046.32 / $5,725.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.37 / $4,046.32 / $5,650.99