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Iowa rates for HCPCS J9217

Leuprolide Acetate Suspnsion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.99 / $467.99 / $4,286.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $467.99 / $2,244.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.54 / $194.85 / $265.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $351.24 / $1,314.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.41 / $258.43 / $596.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $173.02 / $2,475.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.75 / $276.22 / $353.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.75 / $258.43 / $362.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $350.25 / $375.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $179.98 / $209.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.08 / $170.08 / $170.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.36 / $170.08 / $170.08