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Washington, DC rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $128,824.96 / $165,958.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $51,286.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $43,651.58 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $54,954.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,307.81 / $43,651.58 / $53,703.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $50,118.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $47,863.01 / $51,286.14