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North Dakota rates for HCPCS J9202

Goserelin Acetate Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $733.67 / $1,321.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.66 / $741.00 / $924.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.96 / $799.94 / $810.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.93 / $799.94 / $810.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.46 / $733.67 / $912.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.72 / $734.15 / $1,320.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $817.26 / $3,104.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $887.01