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Oklahoma rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $536.23 / $911.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.48 / $536.48 / $536.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $468.62 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.50 / $536.23 / $766.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.03 / $496.68 / $556.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.23 / $496.74 / $556.35