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Oklahoma rates for HCPCS J1573

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $77.40 / $131.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.97 / $71.97 / $71.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.31 / $58.73 / $85.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $62.87 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.09 / $66.64 / $66.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.66 / $77.40 / $110.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.91 / $71.66 / $80.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $66.64 / $74.64