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Oklahoma rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.99 / $51.99 / $103.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.99 / $51.99 / $51.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $54.55 / $54.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.79 / $57.04 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42