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Oklahoma rates for HCPCS J9270

Plicamycin 2.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.98 / $79.98 / $112.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $80.97 / $83.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.63 / $126.63 / $126.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.98 / $83.98 / $98.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $98.74 / $121.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $98.74 / $118.49