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Oklahoma rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.41 / $72.41 / $144.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.41 / $72.41 / $72.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.41 / $79.65 / $384.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50