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Nationwide rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $489.78 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $239.88 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $169.82 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $177.83 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $173.78 / $204.17