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Ohio rates for HCPCS J9226

Histrelin Implant (Suprelin La) 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,560.40 / $97,694.80 / $148,639.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,020.65 / $45,470.86 / $58,317.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,622.30 / $72,483.25 / $112,551.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,020.65 / $50,423.12 / $74,959.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,020.65 / $45,020.65 / $67,672.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,020.65 / $45,020.65 / $60,777.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,472.31 / $45,020.65 / $49,742.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,020.65 / $45,020.65 / $60,217.94
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,472.31 / $45,020.65 / $50,000.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,020.65 / $45,020.65 / $63,708.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,212.04 / $51,993.84 / $65,200.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42,769.62 / $45,020.65 / $54,474.99