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Missouri rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $60,255.96 / $141,253.75
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
$43,651.58 / $45,708.82 / $151,356.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $44,668.36 / $57,543.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $45,708.82
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 / $48,977.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $53,703.18 / $79,432.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,668.36 / $47,863.01 / $199,526.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $54,954.09 / $60,255.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39,810.72 / $45,708.82 / $50,118.72