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Tennessee rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $79,432.82 / $85,113.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $51,286.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,668.36 / $44,668.36 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223,872.11 / $223,872.11 / $223,872.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199,526.23 / $199,526.23 / $199,526.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $47,863.01 / $54,954.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,738.03 / $43,651.58 / $51,286.14