go back

Connecticut rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,556.20 / $7,466.46 / $15,805.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,678.89 / $4,971.34 / $5,029.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $4,343.67 / $11,886.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,225.63 / $4,971.34 / $5,628.60
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,361.25 / $5,458.72 / $6,176.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,630.17 / $4,873.85 / $5,361.25