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Oklahoma rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $89 · 10th–90th $58–$5500%10%10th90th$89Professionalmedian $58 · 10th–90th $41–$630%50%10th90th$58$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $107.15 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $89.13 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $123.03 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $218.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $53.70 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $57.54