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Oregon rates for HCPCS J0470

Dimecaprol Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $128.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $53.27 / $54.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.10 / $109.10 / $109.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.12 / $70.59 / $114.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $30.87 / $57.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.15 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.27 / $70.59 / $114.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.84 / $57.58 / $70.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.44 / $113.64 / $218.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42