go back

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
$2.35 / $72.78 / $272.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.94 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $4.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.93 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.18 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02