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Arizona rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.16 / $64.72 / $181.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.21 / $58.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.68 / $161.07 / $285.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $48.39 / $54.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $49.14 / $101.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $411.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $53.42