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North Dakota rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $3,855.86 / $8,675.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,000.45 / $4,819.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $5,001.75 / $6,352.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $4,096.85 / $4,859.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,327.49 / $7,086.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,327.49 / $7,086.79