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Oklahoma rates for HCPCS J9050

Carmustine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.32 / $187.53 / $264.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $240.84 / $286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $224.96 / $238.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $211.91 / $4,370.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.59 / $184.06 / $16,586.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.54 / $238.46 / $292.35