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New Jersey rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $776.25 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $870.96
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $851.14 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,412.54 / $1,412.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $9,549.93 / $23,988.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $891.25