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Oklahoma rates for HCPCS J9203

Gemtuzumab ozogamicin 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.45 / $255.55 / $360.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $241.35 / $286.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.56 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.22 / $223.22 / $236.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.23 / $255.55 / $365.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.79 / $236.62 / $297.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $281.58