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Oregon rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.23 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.29 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.78 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $1.45 / $1.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.66 / $0.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.66 / $0.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.79 / $1.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.89 / $1.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.68 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62