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Oklahoma rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.79 / $78.80 / $160.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.79 / $69.79 / $69.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $42.59 / $66.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $60.96 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $64.62 / $64.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.59 / $85.11 / $115.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $75.05 / $75.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62