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Arizona rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.46 / $1,489.35 / $5,357.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.66 / $741.00 / $1,319.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $880.98 / $880.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.32 / $2,219.23 / $3,840.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.32 / $710.66 / $781.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $733.67 / $733.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.46 / $807.57 / $1,254.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $734.15 / $3,104.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $777.69