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Oklahoma rates for HCPCS J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.13 / $1,975.01 / $3,417.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.01 / $1,975.01 / $1,975.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,658.30 / $4,128.58 / $6,486.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.20 / $1,725.20 / $1,828.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $1,828.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.13 / $2,651.64 / $6,490.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.81 / $1,861.13 / $1,861.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $1,828.72