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Oregon rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.64 / $5.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $4.48 / $4.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.13 / $4.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.13 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24