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Oregon rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.99 / $1.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.16 / $4.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $2.85 / $3.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.12 / $3.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.49 / $17,728.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.64 / $2.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.64 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $4.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $4.01 / $5.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40