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Oregon rates for HCPCS J3280

Injection Thiethylperazine Maleate Up To 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.42 / $7.42 / $14.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $7.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $9.94 / $11.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $8.81 / $13.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $9.25 / $9.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $9.52 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $9.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.59 / $13.99 / $18.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76