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Oklahoma rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.55 / $603.24 / $6,114.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.13 / $603.13 / $603.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $526.85 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.03 / $558.46 / $558.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.50 / $558.55 / $862.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.57 / $558.55 / $558.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $591.97