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Minnesota 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 / $176.45 / $4,286.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $242.31 / $2,124.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.69 / $202.91 / $532.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.31 / $163.19 / $190.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.16 / $273.83 / $577.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $197.84 / $222.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.62 / $406.41 / $628.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.54 / $175.54 / $191.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.41 / $186.82 / $536.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $173.02 / $467.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $187.04 / $327.14