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Oregon rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $29.94 / $43.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.60 / $58.37 / $62.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.59 / $60.59 / $60.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $13,910.16 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.60 / $48.24 / $48.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.59 / $60.59 / $60.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $50.76 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $42.49 / $59.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $10.16 / $29.02