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Oklahoma rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,073.80 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,073.80 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,801.89 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,801.89 / $4,168.69