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California rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.45 / $8,644.96 / $22,456.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,000.45 / $4,800.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,288.96 / $5,251.79 / $6,012.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $5,001.70 / $11,854.03
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $7,140.61 / $13,004.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,910.76 / $4,910.76 / $10,981.40
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
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,528.81 / $4,528.81 / $5,434.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,684.00 / $7,711.71 / $9,719.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,459.46 / $21,887.34 / $22,762.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $10,473.42 / $10,473.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $4,819.82 / $6,603.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $5,911.10
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,528.81 / $5,887.45 / $6,793.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $5,684.00 / $9,094.40