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Oregon rates for HCPCS J9218

Leuprolide Acetate Per 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $51.57 / $120.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.21 / $60.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $15.14 / $103.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $23.83 / $26.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $40.15 / $71.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $9.44 / $16.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.35 / $18.57 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $16.34 / $66.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $11.14 / $51.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $19.11 / $36.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $57.96