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New Jersey rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,096.85 / $5,039.13 / $10,751.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,325.68 / $4,000.45 / $4,096.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,096.85 / $4,819.82 / $5,301.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $4,819.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,831.39 / $4,831.39 / $5,684.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,229.05 / $5,229.05 / $5,229.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $5,957.33 / $6,327.49