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Maine rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Facilitymedian $100,000 · 10th–90th $41,687$107,1520%50%10th90th$100,000Professionalmedian $43,652 · 10th–90th $40,738$53,7030%50%10th90th$43,652$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $107,151.93 / $107,151.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $58,884.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $47,863.01 / $131,825.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $46,773.51 / $117,489.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $40,738.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $43,651.58
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $43,651.58 / $52,480.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $43,651.58 / $60,255.96