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Kansas rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $3,855.86 / $4,819.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $3,855.86 / $4,819.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,749.37 / $6,763.96 / $7,450.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $5,684.00 / $5,684.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $6,242.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $4,819.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $4,717.60 / $5,752.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,025.04 / $6,763.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,025.04 / $6,763.96