go back

Delaware rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.66 / $1,885.53 / $2,834.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.66 / $733.67 / $1,364.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.21 / $738.21 / $738.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.85 / $711.85 / $734.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.01 / $748.01 / $748.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $814.37 / $1,100.51