go back

Oklahoma rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $23.78 / $8,373.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $24.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $20.83 / $32.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $20.77 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $20.47 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $18.95 / $20.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02