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Oklahoma rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $425.38 / $723.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.01 / $423.46 / $431.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $195.43 / $307.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $369.90 / $401.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $401.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.98 / $425.38 / $1,973.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.70 / $393.87 / $394.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.55 / $392.09 / $392.09