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Mississippi rates for HCPCS J3316

Injection Triptorelin Extended-Release 3.75 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,008.14 / $4,527.42 / $4,580.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,008.14 / $5,153.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,624.00 / $2,624.00 / $2,886.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,214.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,969.97 / $5,038.81