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Massachusetts rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $776.25 / $1,548.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $3,630.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $891.25
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,548.13 / $8,912.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $3,630.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $776.25 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $954.99