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Pennsylvania rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Facilitymedian $67,608 · 10th–90th $40,738–$131,8260%10%20%10th90th$67,608Professionalmedian $43,652 · 10th–90th $43,652–$60,2560%50%90th$43,652$1.0$10.0$100.0$1.0K$10.0K$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 / $74,131.02 / $131,825.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $58,884.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $46,773.51 / $58,884.37
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44,668.36 / $44,668.36 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $69,183.10 / $154,881.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $42,657.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $60,255.96 / $60,255.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $40,738.03
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,791.08 / $40,738.03 / $70,794.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $51,286.14
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $63,095.73 / $114,815.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $51,286.14
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $29,512.09 / $97,723.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $50,118.72 / $52,480.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $50,118.72 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $40,738.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $47,863.01 / $60,255.96