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Mississippi rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.34 / $211.74 / $6,254.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $185.27 / $1,376.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $172.29 / $327.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.70 / $196.70 / $196.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.37 / $235.37 / $263.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.45 / $176.45 / $180.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $176.45 / $258.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.29 / $185.66 / $229.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.63 / $176.45 / $232.91