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Alaska rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $22,908.68 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,786.30 / $9,120.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,786.30 / $6,760.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $4,786.30 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $8,511.38 / $15,848.93