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Maryland rates for HCPCS J9202

Goserelin Acetate Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.45 / $998.33 / $3,579.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.66 / $741.00 / $1,319.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $734.16 / $734.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.06 / $703.06 / $1,072.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $865.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.62 / $733.67 / $1,163.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $816.73 / $887.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.06 / $703.06 / $991.10