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Oklahoma rates for HCPCS Q4155

Neoxflo Or Clarixflo 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.75 / $28.75 / $28.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.75 / $28.75 / $28.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $30.96 / $126.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $27.31 / $27.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $28.53