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Missouri rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,168.69 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,981.07 / $4,786.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,025.60
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 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,677.35 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,623.41 / $6,309.57