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West Virginia rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.23 / $3,314.68 / $11,774.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $843.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $734.15 / $1,101.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $949.41 / $1,701.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $1,072.43 / $1,072.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $761.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.15 / $2,578.44 / $3,698.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $814.37 / $1,292.77