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Oklahoma rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $331.34 / $563.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.38 / $333.38 / $333.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $291.20 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.45 / $331.34 / $473.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.94 / $306.80 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.94 / $308.68 / $327.20