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Missouri rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.33 / $60.67 / $255.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $48.39 / $60.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $31.19 / $85.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.38 / $50.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $60.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $54.43 / $74.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.37 / $53.42 / $411.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $53.30 / $70.36