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Oregon rates for HCPCS J1571

Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $97.72 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $70.79 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $93.33 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $75.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $144.54 / $169.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $74.13 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $74.13 / $91.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $83.18 / $138.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $93.33 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $81.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $100.00 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18