go back

Colorado rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.20 / $1,468.30 / $4,408.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $917.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.96 / $1,261.91 / $2,347.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $692.14 / $968.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.08 / $737.76 / $1,166.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.69 / $807.03 / $1,100.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $777.69