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Oklahoma rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $602.56 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $562.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $562.34 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $562.34