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Oregon rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.05 / $103.71 / $130.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $75.05 / $201.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $87.93 / $131.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $70.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $163.40 / $190.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $92.41 / $138.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $68.50 / $80.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $84.01 / $156.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $99.53 / $167.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $70.09 / $82.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.87 / $165.93 / $287.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62