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New Hampshire rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Facilitymedian $58,884 · 10th–90th $44,668–$87,0960%10%20%10th90th$58,884Professionalmedian $43,652 · 10th–90th $40,738–$50,1190%50%10th90th$43,652$20.0K$50.0K$100.0K

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
$43,651.58 / $47,863.01 / $87,096.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $50,118.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $61,659.50 / $87,096.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $81,283.05 / $109,647.82
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 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $74,131.02 / $74,131.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $43,651.58 / $58,884.37
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $48,977.88 / $53,703.18