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Michigan rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $4,819.83 / $6,747.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $3,855.86 / $4,096.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,747.75 / $6,747.75 / $6,747.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $5,551.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $7,518.93 / $10,728.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,725.31 / $5,670.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,327.49 / $7,048.82