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Oregon rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.55 / $698.20 / $1,116.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $564.04 / $1,422.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $767.30 / $1,085.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $605.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.79 / $1,226.54 / $1,426.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $710.58 / $1,200.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $591.96 / $726.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $698.08 / $1,161.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.67 / $583.60 / $798.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.90 / $605.88 / $678.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $692.39 / $1,602.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $642.23