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Connecticut rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,578.83 / $6,153.06 / $13,025.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,096.85 / $4,096.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,614.86 / $4,819.82 / $5,556.28
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 / $4,819.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,831.39 / $4,831.39 / $5,229.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,229.28 / $5,684.00 / $6,252.40