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Oklahoma rates for HCPCS J1569

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $51.62 / $9,467.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $48.94 / $50.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $42.58 / $67.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $42.75 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $45.31 / $45.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.47 / $51.62 / $89.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.63 / $47.80 / $53.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.25 / $45.31 / $50.75