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West Virginia rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.33 / $47.33 / $51.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.21 / $51.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $32,999.67 / $69,999.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $12.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $55.44 / $151.50