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Texas rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,810.58 / $4,663.25 / $15,091.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,855.45 / $5,182.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,802.23 / $7,092.44 / $14,151.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,753.52 / $3,753.52 / $3,753.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.20 / $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 / $18,704.66 / $19,086.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,772.85 / $5,458.71 / $5,622.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,829.64 / $3,607.26 / $6,919.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.20 / $3,817.28 / $5,513.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,607.26 / $3,817.28 / $4,141.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,249.43 / $4,249.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,716.28 / $3,716.28 / $5,153.33