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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
$3,961.49 / $4,074.68 / $5,744.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,122.66 / $4,122.66 / $4,122.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.20 / $3,601.20 / $3,817.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,116.00 / $4,074.68 / $5,826.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,506.04 / $3,772.85 / $4,199.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,249.43