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Ohio rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $10.15 / $3,654.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $10.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $7.63 / $12.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.98 / $7.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $6.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $6.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.45 / $6.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $6.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.45 / $6.16
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $7.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.01 / $6.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $6.25