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Oregon rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,980.60 / $4,859.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,454.19 / $4,198.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $3,415.13 / $4,882.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,750.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,868.48 / $5,356.36 / $6,389.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,551.38 / $5,224.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,575.67 / $3,158.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $3,037.36 / $5,076.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,865.96 / $5,005.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,865.96 / $3,094.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.48 / $3,291.74 / $8,340.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,915.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,794.37