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Oregon rates for HCPCS J2840

Injection Sebelipase Alfa 1 Mg (Reinstated 01/01/2017). Savacort-50 Up To 50 Mg (Del 03/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $1,225.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.46 / $508.46 / $520.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.42 / $1,041.42 / $1,041.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.46 / $727.10 / $1,093.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.88 / $701.88 / $1,349.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.70 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.54 / $587.08 / $727.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $638.13 / $638.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $591.59 / $1,587.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $612.60