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Oklahoma rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $139.94 / $237.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $139.84 / $139.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $122.15 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $139.94 / $200.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.58 / $129.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47