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Oklahoma rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $15.34 / $26.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.37 / $15.37 / $15.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $13.43 / $14.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $16.11 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $14.34 / $15.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $14.23 / $15.94