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North Carolina rates for HCPCS J3316

Injection Triptorelin Extended-Release 3.75 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,092.44 / $3,756.91 / $4,376.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,092.44 / $3,092.44 / $4,565.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.68 / $6,719.94 / $9,869.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,986.40 / $3,986.40 / $3,986.40
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 / $4,459.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,092.44 / $4,542.56 / $4,905.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,116.00 / $3,116.00 / $3,116.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,046.32 / $5,916.78
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,077.71 / $5,077.71 / $19,086.40