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Wyoming rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.01 / $6.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.68