go back

Oklahoma rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $53.00 / $96.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.94 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.74 / $1.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.86 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.64 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.86