go back

Oklahoma rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $29.16 / $29.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.16 / $29.16 / $29.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $159.00 / $159.00