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Oklahoma rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $471.43 / $801.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.58 / $466.58 / $466.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $407.57 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.18 / $432.02 / $432.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.77 / $436.51 / $674.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $436.51 / $449.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $449.30