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Oklahoma rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.29 / $47.29 / $94.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.29 / $47.29 / $47.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.39 / $49.62 / $49.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $49.65 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $48.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $48.65