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Oregon rates for HCPCS J0896

Injection, luspatercept-aamt, 0.25 mg

Facilitymedian $54 · 10th–90th $43–$1000%10%20%10th90th$54Professionalmedian $44 · 10th–90th $42–$590%50%10th90th$44$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $43.65 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $70.79 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $100.00 / $109.65
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $45.71 / $85.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $45.71 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $45.71 / $87.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $44.67 / $83.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $46.77 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $87.10 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66