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Tennessee rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $954.40 / $1,507.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.66 / $734.15 / $888.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $734.15 / $880.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.06 / $765.01 / $900.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.06 / $733.67 / $733.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.43 / $1,146.43 / $3,668.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.06 / $3,104.06 / $3,104.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.66 / $733.67 / $873.07