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Kansas rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $19.18 / $2,805.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.62 / $6.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $5.32 / $5.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $4.71 / $4.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.45 / $5.00
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 / $6.10 / $6.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.84 / $1,033.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.72 / $6.34