go back

Oregon rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $72.44 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $64.57 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $85.11 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $61.66 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $64.57 / $177.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $48.98 / $81.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $85.11 / $177.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $134.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54