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Oklahoma rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $38.79 / $65.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $38.40 / $38.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $20.63 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $35.54 / $35.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $35.90 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.99 / $35.90 / $35.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $35.54 / $35.54