go back

Oklahoma rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.99 / $295.99 / $589.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.99 / $295.99 / $295.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.36 / $310.61 / $310.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.06 / $278.77 / $423.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $298.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $298.30