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Oklahoma rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.71 / $8.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.54 / $5.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $4.51 / $7.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $4.93 / $4.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $4.71 / $7.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.36 / $14.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.72 / $5.46