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Oklahoma rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $89.13 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $39.81 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $89.13 / $144.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $91.20