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Florida rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $77,624.71 / $102,329.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $43,651.58 / $67,608.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $44,668.36
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,877.62 / $43,651.58 / $43,651.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,703.18 / $58,884.37 / $91,201.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $45,708.82 / $81,283.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $45,708.82 / $47,863.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $45,708.82