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Oregon rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.36 / $2.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.24 / $1.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.56 / $2.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.81 / $3.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.76 / $2.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.35 / $1.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.23 / $2.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.56 / $2.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.38 / $1.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.79 / $4.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23