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Missouri rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.34 / $1,123.24 / $5,339.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $748.34 / $1,261.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $734.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $785.03 / $2,635.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $931.76
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 / $934.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.15 / $876.13 / $1,261.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.44 / $778.20 / $3,104.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $873.07