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Oklahoma rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.63 / $171.63 / $171.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.51 / $171.63 / $171.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $149.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $158.91 / $158.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.83 / $171.63 / $654.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.24 / $158.91 / $158.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.30 / $158.91 / $158.91