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Oklahoma rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.79 / $31.97 / $45.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $24.35 / $35.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $49.06 / $77.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $22.53 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.39 / $33.57 / $75.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $31.38 / $1,372.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $28.42