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Oklahoma rates for HCPCS J1950

Injection, leuprolide acetate (for depot suspension), per 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.27 / $1,876.06 / $9,220.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.75 / $1,868.75 / $1,922.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.69 / $1,367.81 / $2,128.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,632.38 / $1,632.38 / $1,730.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.82 / $1,730.32 / $1,730.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.23 / $1,737.10 / $3,112.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.30 / $1,737.10 / $1,933.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $1,926.21