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Minnesota rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $4,819.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,000.45 / $4,819.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,290.24 / $7,692.44 / $11,950.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,318.56 / $5,398.20 / $5,398.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,257.85 / $15,931.37 / $19,395.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,001.75 / $5,501.93 / $6,352.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,985.46 / $14,084.93 / $17,478.12
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,001.75 / $5,001.75 / $5,335.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,288.72 / $4,819.82 / $5,176.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,252.40 / $10,874.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,025.04 / $10,538.14