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Oregon rates for HCPCS J1573

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $89.58 / $133.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $71.66 / $86.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $62.87 / $130.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $72.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $157.66 / $182.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $95.30 / $143.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $70.64 / $86.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $71.66 / $138.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $111.24 / $195.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $78.59 / $111.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $112.71 / $238.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.61 / $136.61 / $159.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64