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Colorado rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $446.68 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $177.83 / $1,905.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $331.13 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $575.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $177.83 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $181.97