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Arkansas rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.07 / $880.98 / $936.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $741.00 / $880.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.65 / $775.65 / $775.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.49 / $796.49 / $796.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.75 / $796.49 / $796.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $991.10 / $1,100.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $734.15 / $1,701.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.54 / $703.06 / $733.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $795.96
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.71 / $928.71 / $928.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $755.68 / $939.10