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Louisiana rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $1,013.13 / $2,569.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $741.00 / $888.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $734.15 / $734.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.24 / $775.65 / $1,163.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.87 / $775.65 / $791.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.00 / $859.00 / $859.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $692.14 / $733.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.30 / $733.67 / $939.10