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Indiana rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $47.86 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $48.98 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $75.86 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $47.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $43,651.58 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $53.70 / $57.54