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Oregon rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $365.20 / $617.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $311.77 / $645.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $415.94 / $587.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $334.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.35 / $673.28 / $779.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $441.41 / $663.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $327.20 / $401.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.79 / $383.50 / $642.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.52 / $318.87 / $441.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $351.15 / $367.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.54 / $354.98 / $1,023.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68