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California rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $9.26 / $3,052.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.84 / $1,215.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $7.11 / $15.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.51 / $9.58
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $6.30 / $10.56
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.76 / $11.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.78 / $10.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.34 / $9.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.47 / $1,033.47 / $1,033.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $8.77 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.57 / $7.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.67
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $4.45 / $6.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.54 / $8.57