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Oklahoma rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.75 / $204.93 / $348.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.26 / $209.26 / $209.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $182.79 / $193.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.75 / $204.93 / $293.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.31 / $189.75 / $193.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $205.39