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New York rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $53.70 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $50.12 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.85
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $32.36 / $81.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $53.70 / $53.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $50.12 / $66.07
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $61.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70