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Louisiana rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $45,708.82 / $95,499.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $53,703.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $47,863.01 / $47,863.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,863.01 / $47,863.01 / $47,863.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $40,738.03 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $44,668.36
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
$38,904.51 / $43,651.58 / $50,118.72