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Utah rates for HCPCS J3316

Injection Triptorelin Extended-Release 3.75 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,376.51 / $4,428.04 / $4,428.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,428.04 / $4,428.04 / $4,428.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,084.87 / $5,004.38 / $8,341.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.82 / $6,934.16 / $9,954.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,626.42 / $3,817.28 / $4,249.43