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Vermont rates for HCPCS J9202

Goserelin Acetate Implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.66 / $733.67 / $1,261.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.51 / $747.51 / $830.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $798.27 / $1,330.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $1,330.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $798.27 / $1,330.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $1,330.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.59 / $777.69 / $1,695.07