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Oklahoma rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $533.99 / $907.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.19 / $535.19 / $535.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $467.50 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $533.99 / $763.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.40 / $494.43 / $495.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55