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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
$86.01 / $88.46 / $124.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $83.72 / $99.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $42.59 / $67.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.43 / $77.43 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.51 / $91.10 / $131.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.53 / $81.91 / $273.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $94.39