go back

Oklahoma rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $416.87 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $436.52 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $426.58