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Oklahoma rates for HCPCS J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,949.84 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $63.10 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,819.70 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,819.70 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $2,041.74