go back

Oklahoma rates for HCPCS J9302

Injection Ofatumumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.64 / $58.64 / $99.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.64 / $60.09 / $72.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.64 / $61.57 / $75.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.49 / $63.96 / $90.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $71.80