go back

Oklahoma rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.90 / $531.25 / $903.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.83 / $512.83 / $527.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $447.96 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.27 / $474.84 / $474.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.74 / $531.25 / $975.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.63 / $491.90 / $547.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $528.60