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Oregon rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.16 / $39.50 / $71.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.90 / $59.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $57.73 / $67.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $38.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $78.83 / $91.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $44.92 / $76.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $37.69 / $46.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $40.65 / $106.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.26 / $50.02 / $76.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $38.57 / $42.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.13 / $42.81 / $87.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54