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Ohio rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,855.86 / $10,459.00 / $13,736.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $3,904.05 / $4,935.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $5,542.79 / $7,952.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,506.76 / $6,906.06 / $11,061.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $6,506.76 / $6,506.76
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 / $6,138.45
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $4,819.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $6,820.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $5,542.79 / $6,950.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,673.20 / $5,684.00 / $6,877.64