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Oklahoma rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.82 / $54.82 / $109.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $54.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.82 / $64.30 / $293.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.76 / $56.40 / $56.40