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Michigan rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,886.04 / $3,931.80 / $12,124.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,931.80 / $4,565.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,434.58 / $8,325.82 / $15,864.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,694.84 / $3,889.30 / $3,889.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,788.00 / $3,817.28 / $3,817.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $4,857.55 / $10,812.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,886.04 / $4,580.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $5,259.06 / $5,725.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,249.43 / $4,886.84