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Oregon rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.56 / $416.56 / $833.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $345.74 / $416.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.92 / $735.92 / $735.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $399.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.44 / $339.48 / $406.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.74 / $458.22 / $743.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.24 / $260.05 / $535.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.74 / $494.41 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $535.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.80 / $661.37 / $2,207.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54