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Oregon rates for HCPCS J7309

Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.48 / $189.48 / $189.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.63 / $78.63 / $94.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.38 / $167.38 / $167.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.69 / $83.69 / $90.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.53 / $94.74 / $104.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.53 / $104.21 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $83.69 / $2,250,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $407.57 / $407.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $94.74 / $108.95