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Virginia rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,096.85 / $4,473.76 / $8,849.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,096.85 / $4,096.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $6,472.05
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,229.73 / $7,229.73 / $7,591.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.45 / $4,819.82 / $6,882.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $5,687.00 / $9,616.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.00 / $6,025.04 / $6,393.70