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Oklahoma rates for HCPCS C9254

Injection Lacosamide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $542.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.86 / $1.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.20 / $100.00