go back

Kentucky rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.47 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.47 / $11.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.25 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $7.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.68 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $19.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.68 / $4.90