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Maryland rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.46 / $51.57 / $354.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $51.42 / $60.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $136.35 / $151.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $56.11 / $61.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91