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Oregon rates for HCPCS J1568

Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $58.23 / $95.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $49.45 / $5,153.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $69.77 / $96.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $51.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $106.53 / $129.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $67.97 / $128.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $50.38 / $61.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.52 / $59.41 / $100.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.48 / $53.15 / $89.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.74 / $55.99 / $64.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $49.69 / $130.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $47.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $47.53