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Oklahoma rates for HCPCS J9040

Bleomycin Sulfate 15 Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.95 / $22.57 / $331.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.57 / $30.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $44.63 / $44.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $49.06 / $77.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $20.30 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.57 / $26.66 / $47.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $22.15 / $971.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $21.53 / $78.20