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Oklahoma rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,624.28 / $4,481.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,478.48 / $2,953.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.75 / $1,354.69 / $2,148.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,292.35 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.04 / $2,635.96 / $3,690.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.67 / $2,441.48 / $3,070.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,721.48