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Virginia 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 / $4,325.95 / $8,602.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,008.14 / $6,794.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $8,054.46 / $12,978.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
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 / $3,817.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,244.69 / $4,460.43 / $4,580.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $6,104.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,572.08 / $3,790.60 / $4,886.12
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,572.08 / $3,790.60 / $4,886.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,046.32 / $4,504.39