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New Jersey rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $64,565.42 / $117,489.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $51,286.14 / $67,608.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $60,255.96 / $60,255.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $20,417.38 / $131,825.67
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $54,954.09 / $87,096.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $45,708.82 / $51,286.14