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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
$129.58 / $161.97 / $258.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $134.71 / $222.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $182.10 / $259.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $140.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.89 / $284.79 / $338.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $185.16 / $278.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $137.25 / $168.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.39 / $129.58 / $268.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.65 / $139.44 / $253.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $152.69 / $160.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.06 / $139.84 / $373.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47