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Oklahoma rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,669.96 / $22,670.00 / $31,962.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $22,949.83 / $23,789.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,669.96 / $23,803.46 / $27,987.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,723.20 / $24,722.38 / $103,405.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $27,754.37