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Oklahoma rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $88.24 / $150.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.10 / $85.10 / $87.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $74.33 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.87 / $78.79 / $78.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $81.70 / $126.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $81.70 / $91.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $78.80 / $88.26