go back

North Dakota rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,888.44 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,897.79 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,248.07 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,128.61 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,370.32 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,011.87 / $5,888.44