go back

Nebraska rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $48.39 / $133.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $48.39 / $60.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.44 / $25.22 / $25.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $50.43 / $50.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $13.81 / $51.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $55.50 / $92.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.56 / $151.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $13.81 / $28.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $13.81 / $39.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $11.70 / $18.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $59.98