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Michigan rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $48.54 / $84.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $48.39 / $51.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.19 / $82.97 / $158.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $6.48 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $51.42 / $51.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.30 / $57.28 / $135.06
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $53.59 / $64.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $56.11 / $62.51