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Oregon rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $12.97 / $13.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.63 / $34.81 / $41.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $17.92 / $29.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $15.91 / $17.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.66 / $15.91 / $21.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $104.46 / $190.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $104.46 / $118.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $13.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $26.48 / $41.67