go back

Oregon rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $562.54 / $864.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $440.87 / $750.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $558.44 / $898.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $468.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.25 / $958.09 / $1,109.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.20 / $617.79 / $928.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.31 / $457.94 / $561.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $501.99 / $1,296.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $567.08 / $928.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.99 / $468.70 / $529.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.68 / $638.92 / $1,514.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $449.30