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Oklahoma rates for HCPCS J0878

Injection, daptomycin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $199.53 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.82 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.08 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03