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Oregon rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $99.54 / $157.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $89.87 / $5,512.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $115.23 / $162.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $85.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $179.68 / $214.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.60 / $112.68 / $169.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.94 / $86.32 / $102.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.79 / $98.50 / $169.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.45 / $88.34 / $150.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.31 / $85.49 / $102.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $85.37 / $165.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $78.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $78.80