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Oklahoma rates for HCPCS J9042

Brentuximab Vedotin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.84 / $279.20 / $42,315.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $263.81 / $312.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $195.43 / $309.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $244.00 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.44 / $279.20 / $375.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.74 / $258.52 / $325.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $307.77