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Oklahoma rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.43 / $62.03 / $105.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $60.59 / $60.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $52.93 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.35 / $62.03 / $88.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.98 / $57.43 / $57.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10