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Oklahoma rates for HCPCS J9295

Injection, necitumumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $6.17 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.17 / $10.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $8.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.75 / $6.31