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Utah rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Facilitymedian $93,325 · 10th–90th $50,119–$95,4990%50%10th90th$93,325Professionalmedian $43,652 · 10th–90th $43,652–$53,7030%50%90th$43,652$50.0$200.0$1.0K$5.0K$20.0K$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
$50,118.72 / $93,325.43 / $95,499.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $64,565.42 / $107,151.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $40,738.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30,199.52 / $44,668.36 / $58,884.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $91,201.08 / $131,825.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $60,255.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $42,657.95 / $42,657.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,988.33 / $40,738.03 / $48,977.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $47,863.01