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Oklahoma rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $55.83 / $15,193.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $54.80 / $54.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $43.00 / $67.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.08 / $50.74 / $50.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.11 / $54.47 / $96.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.87 / $50.43 / $56.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $50.74 / $56.83