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Oregon rates for HCPCS J1569

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $90.62 / $8,634.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $47.80 / $4,338.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $65.75 / $90.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $49.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $105.11 / $122.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $64.79 / $115.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $48.03 / $58.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $56.64 / $99.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.13 / $53.91 / $88.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.33 / $51.72 / $62.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $50.63 / $135.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31