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Wyoming rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.15 / $734.15 / $9,711.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $741.00 / $851.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.43 / $1,348.74 / $1,348.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $692.14 / $692.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $899.78 / $1,038.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67