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Missouri rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Facilitymedian $5,129 · 10th–90th $4,365–$7,2440%20%10th90th$5,129Professionalmedian $4,898 · 10th–90th $4,365–$5,8880%50%10th90th$4,898$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$4,677.35 / $5,128.61 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,897.79 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $8,912.51 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $7,079.46 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,495.41 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,128.61 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,585.78 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,128.61 / $5,888.44