go back

Oklahoma rates for HCPCS J9340

Thiotepa 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $2,376.94 / $2,376.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.75 / $260.81 / $2,184.00