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Massachusetts rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,495.41 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,981.07 / $5,248.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $12,022.64 / $15,848.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $5,623.41 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,025.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $12,022.64 / $15,848.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $5,623.41 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,623.41 / $6,309.57