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Delaware rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.47 / $2,801.67 / $7,284.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.44 / $176.45 / $1,264.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.83 / $189.83 / $189.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $176.45 / $176.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $187.04 / $1,220.85