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Oklahoma rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,754.23 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,258.93 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,691.53 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $2,951.21