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Oregon rates for HCPCS J1458

Galsulfase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $601.95 / $1,017.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $513.85 / $1,063.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $686.21 / $969.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $551.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.50 / $1,110.07 / $1,285.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.96 / $647.05 / $1,093.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $539.28 / $635.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.50 / $631.89 / $1,058.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.51 / $525.91 / $727.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.38 / $551.95 / $606.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.43 / $517.21 / $1,046.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76