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Oklahoma rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml

Facilitymedian $69 · 10th–90th $46–$850%20%10th90th$69Professionalmedian $69 · 10th–90th $69–$790%50%90th$69$50.0$200.0$1.0K$5.0K$20.0K

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
$69.18 / $75.86 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $60.26 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $186.21 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $77.62 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $72.44 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $69.18 / $77.62