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New Jersey rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.65 / $51.42 / $120.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.74 / $50.21 / $51.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $19.07 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $54.09 / $54.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.64 / $52.82 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $54.09 / $54.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $53.25 / $59.98