go back

Oklahoma rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $8.86 / $17.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $9.31 / $9.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $9.58 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95