go back

Oklahoma rates for HCPCS J2797

Injection Rolapitant 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.87 / $0.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.92 / $1.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.92 / $1.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.06