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Oregon rates for HCPCS 90284

Immune Globulin Human Subq Infusion 100 Mg Ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $15.17 / $16.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.70 / $32.70 / $32.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $21.69 / $32.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,910.16 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.07 / $12.07 / $12.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $21.69 / $41.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $16.64 / $17.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $18.38 / $18.38