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Oklahoma rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.21 / $420.23 / $796.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $425.42 / $440.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.21 / $408.21 / $494.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.69 / $1,754.69 / $1,754.69