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Virginia rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $7.92 / $12.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.49 / $7.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $9.21 / $14.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.45
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 / $4.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.45 / $7.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $5.34 / $7.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $6.00 / $9.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $5.34 / $7.33
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.34 / $7.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.72 / $5.25