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Oregon rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $186.21 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $134.90 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $181.97 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $281.84 / $331.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $138.04 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $169.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $229.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $138.04 / $257.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $151.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $147.91 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82