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Oklahoma rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.39 / $85.74 / $145.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.60 / $85.60 / $85.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $74.77 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.16 / $85.74 / $122.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.95 / $79.39 / $79.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $84.02