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Oregon rates for HCPCS J0289

Amphotericin B Liposome Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $34.61 / $42.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $22.62 / $69.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.27 / $33.93 / $46.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $23.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $49.73 / $62.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $30.72 / $67.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $22.77 / $26.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $28.28 / $46.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $34.90 / $67.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $25.34 / $32.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.66 / $47.59 / $91.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48