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West Virginia rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $3,801.89 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,801.89 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $16,218.10 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,981.07 / $4,570.88