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Illinois rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Facilitymedian $1,230 · 10th–90th $776$3,1620%10%10th90th$1,230Professionalmedian $776 · 10th–90th $708$1,4130%20%40%10th90th$776$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,230.27 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $776.25 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,174.90 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,398.83 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,122.02 / $2,630.27
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $977.24 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,174.90 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $812.83 / $1,202.26