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Oregon rates for HCPCS J0641

Levoleucovorin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $2.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.71 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.09 / $2.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.06 / $1.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.06 / $0.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $2.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.13 / $0.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.07