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Mississippi rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,952.25 / $5,783.78 / $5,783.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,000.45 / $5,783.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,911.10 / $5,911.10 / $6,502.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,911.10 / $5,911.10 / $5,911.10
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 / $5,001.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,229.28 / $5,684.00 / $8,241.79