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Rhode Island rates for HCPCS J9202

Goserelin Acetate Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,384.42 / $2,804.47 / $3,018.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $763.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.15 / $734.15 / $1,146.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $816.73