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Oklahoma rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.19 / $126.57 / $215.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.75 / $126.75 / $126.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.72 / $110.72 / $117.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.19 / $126.57 / $181.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.47 / $117.19 / $117.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.62 / $117.36 / $117.36