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Oklahoma rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $40.74 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.82 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $5.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.95 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.19 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.19 / $2.19