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Oklahoma rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.61 / $9.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $9.02 / $14.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $5.46 / $5.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $5.61 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.19 / $5.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $5.46 / $5.46