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Kansas rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.83 / $1,077.22 / $3,230.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $802.63 / $1,027.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $734.15 / $734.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.21 / $744.25 / $783.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.62 / $793.62 / $793.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $733.67 / $756.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.15 / $795.74 / $1,090.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $817.26 / $3,104.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $763.31 / $953.77