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Kentucky rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $87,096.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $60,255.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $51,286.14 / $81,283.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $44,668.36 / $72,443.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,668.36 / $46,773.51 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $67,608.30 / $67,608.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $190,546.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $43,651.58 / $46,773.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $45,708.82 / $47,863.01