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Oregon rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.90 / $541.09 / $949.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $479.59 / $846.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $817.29 / $943.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $515.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $1,080.23 / $1,266.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $679.02 / $1,206.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $503.33 / $617.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.84 / $556.87 / $1,424.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.46 / $522.16 / $953.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.60 / $515.15 / $601.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.45 / $617.55 / $1,396.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $528.60