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Oklahoma rates for HCPCS J1568

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $52.25 / $88.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $51.33 / $52.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $43.00 / $67.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $44.83 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $47.52 / $47.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.68 / $52.25 / $99.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $48.38 / $54.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $47.53 / $53.23