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Oklahoma rates for HCPCS J1951

Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.43 / $151.66 / $257.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.27 / $152.27 / $152.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $133.01 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.43 / $151.66 / $216.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.26 / $140.43 / $156.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $156.94