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Rhode Island rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.47 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.90