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Oregon rates for HCPCS J1429

Injection, golodirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.36 / $159.36 / $163.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.39 / $326.39 / $326.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.36 / $227.88 / $342.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.36 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $184.00 / $320.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $200.00 / $200.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $249.35 / $538.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00