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Massachusetts rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.45 / $352.90 / $2,138.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $178.21 / $1,314.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $542.03 / $1,413.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $185.27 / $2,475.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.15 / $216.68 / $421.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.51 / $290.26 / $366.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.45 / $176.45 / $204.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $176.45 / $186.07
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.41 / $245.56 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $176.45 / $176.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $176.45 / $204.22
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.27 / $746.43 / $2,764.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.24 / $1,173.35 / $1,478.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.03 / $1,413.42 / $1,413.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $187.04 / $2,475.46
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.41 / $211.94 / $306.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $176.45 / $416.42