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Oregon rates for HCPCS J0743

Cilastatin Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $9.83 / $20.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $10.25 / $16.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $10.19 / $14.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $11.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $15.63 / $18.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $14.66 / $23.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.86 / $15.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $10.63 / $21.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $13.92 / $21.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $9.91 / $12.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25