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Kentucky rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $770.35 / $1,247.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.66 / $733.67 / $1,007.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.57 / $865.18 / $1,467.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.30 / $733.67 / $733.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $807.04 / $1,173.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $770.35 / $1,027.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $1,072.43 / $1,072.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.57 / $733.67 / $1,038.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.14 / $705.14 / $916.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $777.69 / $816.73