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Colorado rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $97,723.72 / $165,958.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $58,884.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $74,131.02 / $151,356.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $40,738.03 / $57,543.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $64,565.42 / $89,125.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,738.03 / $40,738.03 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $45,708.82