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Oklahoma rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.39 / $16.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $16.64 / $16.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $16.07 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.55 / $17.63 / $23.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.55 / $18.07 / $23.60