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Minnesota rates for HCPCS J9202

Goserelin Acetate Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $733.67 / $2,831.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $741.00 / $1,551.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.94 / $713.65 / $1,476.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.69 / $747.73 / $770.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.73 / $1,127.59 / $2,207.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.65 / $790.31 / $912.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.27 / $1,053.83 / $2,402.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.46 / $718.46 / $733.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.39 / $734.15 / $1,877.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $817.26 / $3,017.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $777.69 / $1,403.59