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Oregon rates for HCPCS J1458

Injection, galsulfase, 1 mg

Facilitymedian $661 · 10th–90th $513–$1,0470%20%10th90th$661Professionalmedian $525 · 10th–90th $513–$6760%50%10th90th$525$100.0$200.0$500.0$1.0K

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
$512.86 / $741.31 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $524.81 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $691.83 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,230.27 / $1,318.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $549.54 / $1,023.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $549.54 / $891.25
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $524.81 / $977.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $512.86 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $588.84 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,047.13 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86