go back

Oklahoma rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.61 / $113.95 / $224.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.95 / $113.95 / $113.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $118.24 / $498.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.85 / $117.24 / $117.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24