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Nebraska 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 / $3,817.28 / $8,437.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.85 / $3,817.28 / $6,331.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,241.15 / $4,105.46 / $4,321.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,057.67 / $4,228.52 / $4,321.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,572.21 / $3,817.28 / $4,465.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.31 / $3,772.85 / $17,530.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,506.04 / $3,772.85 / $4,489.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,207.25 / $5,647.88 / $8,253.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,641.18 / $4,207.25 / $4,527.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,542.56