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Ohio rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.03 / $84.08 / $201.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $48.54 / $62.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $16.97 / $111.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.04 / $61.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $12.03 / $20.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.03 / $51.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $51.42 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $51.42 / $51.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $60.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.24 / $12.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $62.46