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Florida rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $1,593.11 / $5,628.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $734.15 / $880.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.37 / $734.15 / $880.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $733.67 / $878.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.45 / $733.67 / $733.67
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.84 / $733.67 / $733.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.38 / $1,050.66 / $1,648.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $777.69 / $821.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $734.15 / $734.15