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Kansas rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,678.89 / $4,678.89 / $5,848.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,678.89 / $4,678.89 / $5,848.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.31 / $6,313.57 / $6,645.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,584.76 / $5,584.76 / $5,584.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $6,820.00
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 / $5,102.34 / $6,825.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.85 / $5,425.63 / $24,212.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.85 / $5,166.29 / $5,799.89