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Maine rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Facilitymedian $14,454 · 10th–90th $13,490–$14,4540%50%10th$14,454Professionalmedian $5,012 · 10th–90th $4,677–$5,8880%50%10th90th$5,012$0.1$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $14,454.40 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,011.87 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $5,128.61 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,011.87 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,079.46 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,897.79 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,128.61 / $6,309.57