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New Hampshire rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.57 / $57.76 / $63.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.74 / $51.42 / $51.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.14 / $38.94 / $90.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $51.41 / $51.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $15.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $55.03
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $5.12 / $6.70