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Oklahoma rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $316.23 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $309.03 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $346.74