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Oklahoma rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $49.14 / $69.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $49.75 / $54.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.88 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.51 / $49.14 / $58.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $50.40 / $411.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $59.98