go back

California rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $89,125.09 / $147,910.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $74,131.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,480.75 / $52,480.75 / $52,480.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $56,234.13 / $131,825.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,892.96 / $46,773.51 / $69,183.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $23,442.29 / $91,201.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $51,286.14 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $40,738.03 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $46,773.51
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,668.36 / $44,668.36 / $60,255.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,904.51 / $45,708.82 / $75,857.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223,872.11 / $223,872.11 / $223,872.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199,526.23 / $199,526.23 / $199,526.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $45,708.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $43,651.58 / $74,131.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,738.03 / $40,738.03 / $56,234.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72,443.60 / $72,443.60 / $72,443.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $50,118.72