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Alabama rates for HCPCS J9219

Leuprolide Acetate Implant 65 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,096.85 / $4,096.85 / $4,096.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,000.45 / $4,096.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,863.89 / $8,329.65 / $11,206.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,717.72 / $4,717.72 / $4,868.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $4,819.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $5,684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,831.39 / $5,684.00 / $6,252.40