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Kansas rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.05 / $467.99 / $9,553.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.44 / $188.06 / $467.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $155.41 / $176.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.89 / $238.83 / $685.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.74 / $190.74 / $190.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.46 / $176.45 / $300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $176.45 / $176.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.41 / $230.03 / $467.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $173.02 / $2,475.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $187.04 / $220.74