go back

Arizona rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $8.90 / $13.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.62 / $375.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $13.69 / $23.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.26 / $4.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.45 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $5.12 / $8.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $9.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.72