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Kentucky rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $3,855.86 / $8,193.69
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
$5,229.05 / $5,683.75 / $5,683.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.40 / $4,819.82 / $4,819.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,906.06 / $9,109.45 / $43,499.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,371.38 / $7,596.67 / $11,049.70
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 / $6,567.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $5,371.38 / $6,906.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,025.04 / $6,327.49