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North Carolina rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,365.16 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,073.80 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $14,454.40 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $60.26
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 / $5,623.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,677.35 / $6,309.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $6,456.54 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,025.60 / $6,309.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,454.40 / $22,908.68 / $22,908.68