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Oklahoma rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $39.59 / $78.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.77 / $36.77 / $37.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $43.00 / $67.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $32.11 / $34.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.44 / $34.04 / $34.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $43.55 / $142.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $36.65 / $39.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.03 / $34.03 / $34.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04