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Oklahoma rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.59 / $4.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.59 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.40 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.57