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Oklahoma rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $20.83 / $56.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $4.55 / $7.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $4.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.25 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.61 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.08