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Oklahoma rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.41 / $337.41 / $671.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.41 / $337.41 / $337.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.33 / $367.96 / $367.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.67 / $367.96 / $7,359.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54