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Oregon rates for HCPCS J1558

Injection Immune Globulin (Xembify) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $18.16 / $29.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.99 / $37.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $20.18 / $28.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $16.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $32.67 / $37.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $21.24 / $31.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $15.74 / $19.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $18.55 / $30.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.50 / $15.51 / $27.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $17.46 / $17.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $16.84 / $41.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85