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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
$733.67 / $1,030.31 / $6,172.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $924.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.72 / $1,146.43 / $3,668.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $770.35 / $3,104.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.49 / $900.95 / $1,750.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.70 / $1,226.40 / $1,523.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.06 / $733.67 / $733.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $1,159.96 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $849.15
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.05 / $2,039.26 / $8,284.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.43 / $3,668.35 / $3,668.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $777.69 / $3,104.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $777.69 / $1,098.84