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Indiana rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $3,855.86 / $17,351.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $3,855.86 / $4,096.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $4,819.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.85 / $4,819.82 / $6,506.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,906.06 / $8,440.74 / $8,632.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,596.67 / $7,596.67 / $7,596.67
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 / $5,551.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,025.04 / $6,327.49