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Idaho rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.57 / $51.57 / $51.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.36 / $52.02
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $48.39 / $65.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.91 / $11.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $13.81 / $17.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $6.98 / $15.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $40.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $53.42