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Ohio rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $7,901.77 / $11,680.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.85 / $3,817.28 / $8,703.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,844.00 / $6,546.64 / $10,955.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $6,435.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $6,489.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $5,153.33
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 / $5,312.21
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $5,312.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,249.43 / $4,674.37