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Oklahoma rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $15.25 / $25.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $15.48 / $15.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $14.34 / $14.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $14.25 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $14.12 / $15.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $14.34 / $16.05