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Vermont rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $977.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $977.24 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $831.76 / $1,148.15