go back

Wyoming rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.49 / $5.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $7.33 / $7.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.46 / $6.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45