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Oklahoma rates for HCPCS Q9991

Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $2,134.67 / $3,628.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.73 / $2,177.73 / $2,240.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.69 / $1,367.81 / $2,128.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $1,902.29 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.36 / $2,134.67 / $3,052.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.23 / $1,976.55 / $1,976.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42