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Oklahoma rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $19.00 / $32.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.19 / $18.19 / $18.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $19.00 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $17.59 / $19.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $16.84 / $18.86