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Oklahoma rates for HCPCS J1569

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

Facilitymedian $47 · 10th–90th $27–$850%10%20%10th90th$47Professionalmedian $48 · 10th–90th $47–$550%50%10th90th$48$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $39.81 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $128.82 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $51.29 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $47.86 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $46.77 / $52.48