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Oklahoma rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $35.83 / $152.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $5.17 / $5.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $4.51 / $7.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $7.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $6.70 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.13 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.07