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Oklahoma rates for HCPCS J9202

Goserelin acetate implant, per 3.6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.14 / $792.88 / $1,515.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $741.00 / $888.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $1,519.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.62 / $195.97 / $309.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.14 / $692.14 / $733.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $733.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.32 / $792.88 / $1,158.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.34 / $734.15 / $3,104.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $899.48