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Wyoming rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $50,118.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,286.14 / $60,255.96 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $40,738.03 / $40,738.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $61,659.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $44,668.36 / $91,201.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $45,708.82