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Washington, DC rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $354.67 / $3,786.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $51.42 / $51.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $51.42 / $51.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.95 / $128.78 / $136.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $56.11 / $74.19