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Iowa rates for HCPCS J9202

Goserelin Acetate Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.49 / $971.49 / $2,728.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $741.00 / $1,258.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.46 / $733.67 / $913.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.54 / $822.73 / $1,856.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.98 / $759.29 / $1,187.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $807.57 / $3,104.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.21 / $1,054.58 / $1,230.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.38 / $846.17 / $1,101.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.00 / $1,452.74 / $1,532.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $755.68 / $902.41
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.41 / $803.41 / $803.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.69 / $803.41 / $803.41