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Oklahoma rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $12.30 / $20.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $14.10 / $14.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.32 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $17.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $17.59 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $11.39 / $12.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.70 / $19.70 / $19.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06