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Louisiana rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,819.82 / $5,060.81 / $13,447.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,904.05 / $4,819.82 / $4,819.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.74 / $2,645.45 / $2,984.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.74 / $1,862.74 / $1,899.99
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.64 / $5,684.00 / $6,266.61