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Connecticut rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $72,443.60 / $125,892.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $53,703.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $72,443.60 / $114,815.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $46,773.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,668.36 / $44,668.36 / $60,255.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,738.03 / $43,651.58 / $47,863.01