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Alabama rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.41 / $238.20 / $918.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.44 / $176.45 / $211.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $155.41 / $155.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.16 / $810.85 / $1,090.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.72 / $224.72 / $224.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.45 / $176.45 / $176.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $176.45 / $224.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $176.45 / $199.21