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Vermont rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $60.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $9.25 / $9.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.72 / $17.72 / $17.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $51.42 / $51.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.72 / $17.72 / $17.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $51.42 / $51.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $53.42 / $128.78