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Tennessee rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.45 / $5,040.57 / $7,160.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,000.45 / $4,096.85
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 / $4,819.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,684.00 / $5,684.00 / $7,711.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,459.46 / $21,887.34 / $22,762.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,399.80 / $5,684.00 / $6,327.49