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North Carolina rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $35.36 / $718.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $48.39 / $51.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $30.90 / $38.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.79 / $52.92 / $73.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $57.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $28.00 / $66.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $12.00 / $58.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $17.07 / $27.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $53.42 / $60.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $150.07 / $150.07
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.45 / $411.45 / $411.45