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Alabama rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $741.31 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $912.01