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Iowa rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.67 / $47.33 / $116.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.33 / $48.39 / $60.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $11.59 / $51.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $36.90 / $433.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $47.33 / $60.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.84 / $53.42 / $411.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $13.68 / $26.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $13.37 / $39.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.70 / $27.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $51.91 / $59.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.65 / $58.65 / $58.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.33 / $58.65 / $58.65