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Oklahoma rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $60.49 / $102.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.54 / $60.55 / $62.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $43.00 / $67.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $52.89 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.82 / $59.59 / $105.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.97 / $56.01 / $56.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07