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Oklahoma rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $5.75 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $10.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.17 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $4.27 / $8.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.07 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.37 / $6.61