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Oklahoma rates for HCPCS J1448

Injection Trilaciclib 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.82 / $9.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $5.90 / $5.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $4.55 / $7.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.82 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.46 / $6.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.08