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Oregon rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Facilitymedian $1,096 · 10th–90th $794–$2,4550%20%10th90th$1,096Professionalmedian $1,023 · 10th–90th $851–$1,2020%50%10th90th$1,023$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,047.13 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,023.29 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $346.74 / $371.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $2,454.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $331.13 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,445.44 / $3,019.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $426.58 / $1,096.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,258.93 / $2,570.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52