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Oklahoma rates for HCPCS J9019

Injection, asparaginase (Erwinaze), 1,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.80 / $391.80 / $552.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $396.63 / $483.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.80 / $414.83 / $553.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $427.26 / $624.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $403.08 / $494.18