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Oklahoma rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.07 / $39.15 / $55.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $39.15 / $43.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $49.06 / $77.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $41.12 / $58.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $36.26 / $45.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.85 / $39.85 / $39.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $43.17