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Mississippi rates for HCPCS J9218

Leuprolide Acetate Per 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.60 / $72.80 / $496.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.21 / $72.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $14.91 / $14.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $9.15 / $9.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.95 / $51.42 / $51.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.85 / $50.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.88 / $50.40 / $69.84