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Oklahoma rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.58 / $234.08 / $330.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $221.24 / $262.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.56 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $204.63 / $216.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.74 / $238.42 / $347.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $216.74 / $724.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $242.93