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Oklahoma rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,127.67 / $1,917.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.76 / $1,128.76 / $1,128.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.25 / $1,354.69 / $2,128.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $985.99 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,184.05 / $1,612.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.55 / $1,044.14 / $1,045.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.86 / $1,721.86 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15