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Oklahoma rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $758.58 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $794.33 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33