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Minnesota rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $87,096.36 / $125,892.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $58,884.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $70,794.58 / $75,857.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,307.81 / $45,708.82 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,432.82 / $154,881.66 / $186,208.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $46,773.51 / $56,234.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120,226.44 / $147,910.84 / $173,780.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $52,480.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $45,708.82 / $81,283.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,708.82 / $47,863.01 / $97,723.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $44,668.36 / $60,255.96