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Oklahoma rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.67 / $1.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.94 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.96 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.62 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63