go back

Oregon rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $419.98 / $1,037.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.09 / $430.60 / $446.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $419.98 / $839.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $178.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.60 / $430.60 / $925.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.23 / $430.60 / $925.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.72 / $298.72 / $1,318.21