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Oregon rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Facilitymedian $21 · 10th–90th $17$420%20%10th90th$21Professionalmedian $17 · 10th–90th $16$210%50%10th90th$17$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $41.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $20.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $24.55 / $24.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.38 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89