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Oklahoma rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.83 / $275.50 / $388.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $261.20 / $308.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.56 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.59 / $241.59 / $256.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.31 / $275.50 / $385.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $255.09 / $320.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $294.50