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Oklahoma rates for HCPCS J1557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.47 / $67.45 / $114.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.78 / $68.78 / $68.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $60.08 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.82 / $62.47 / $115.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $62.47 / $69.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $63.68 / $71.31