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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
$3,090.30 / $3,801.89 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,801.89 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,413.10 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,466.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,715.35 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,754.40 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $4,897.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $19,054.61 / $19,054.61