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Maryland 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 / $3,772.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,829.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,567.62 / $3,567.62 / $3,567.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,861.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,014.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,046.32 / $4,633.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,506.04 / $3,506.04 / $3,506.04