go back

Oklahoma rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $20.34 / $34.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.67 / $22.67 / $22.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $20.34 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $18.84 / $20.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99