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Oklahoma rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $18.91 / $32.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.91 / $19.91 / $19.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $17.39 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $18.44 / $18.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.65 / $18.91 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.51 / $18.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $19.55