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Oklahoma rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.52 / $561.08 / $953.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.67 / $549.67 / $549.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $480.15 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $508.96 / $508.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $561.08 / $802.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.70 / $519.52 / $519.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96