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Missouri 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 / $4,459.53 / $5,772.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,931.80 / $4,580.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $6,489.38 / $13,711.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,771.60
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,772.85 / $4,309.41 / $17,530.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,414.43 / $3,772.85 / $4,455.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,036.96 / $4,460.43