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Oklahoma rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.92 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $45.71 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $26.92 / $52.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.12 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.12 / $27.54