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Utah rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Facilitymedian $4,898 · 10th–90th $4,898–$9,3330%50%90th$4,898Professionalmedian $4,898 · 10th–90th $4,677–$5,4950%50%10th90th$4,898$50.0$200.0$1.0K$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
$4,897.79 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,897.79 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $5,128.61 / $6,760.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $9,332.54 / $19,498.45
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,265.80 / $5,128.61
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,398.83 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,128.61