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Kansas rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $50,118.72 / $190,546.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $52,480.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $56,234.13 / $56,234.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,668.36 / $44,668.36 / $44,668.36
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 / $43,651.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $48,977.88 / $70,794.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,708.82 / $47,863.01 / $199,526.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $44,668.36 / $47,863.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $45,708.82 / $51,286.14