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California rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $1,511.36 / $4,162.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.66 / $741.00 / $1,557.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.40 / $1,167.30 / $1,431.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.35 / $1,171.89 / $2,874.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.57 / $761.86 / $1,395.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.70 / $100.00 / $1,214.84
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.51 / $747.51 / $1,501.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $692.14 / $733.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $795.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.06 / $705.14 / $949.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.30 / $880.40 / $1,467.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.43 / $3,525.70 / $3,668.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.06 / $3,104.06 / $3,104.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,441.27 / $1,441.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.30 / $733.67 / $1,135.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $878.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.38 / $896.38 / $896.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.92 / $733.67 / $1,100.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $1,309.77