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Tennessee 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 / $4,753.79 / $8,221.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,565.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,091.32 / $4,091.32 / $4,091.32
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 / $3,817.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,663.68 / $17,530.20 / $19,086.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,046.32 / $4,886.12