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Arizona rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,258.03 / $7,721.95 / $17,545.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,678.89 / $4,854.35 / $5,684.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,540.34 / $16,355.56 / $28,577.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,012.93 / $4,586.21 / $5,159.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $4,971.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $4,971.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,678.89 / $5,269.62 / $8,715.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.85 / $4,873.85 / $24,212.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.85 / $4,873.85 / $5,166.29