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Oregon rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.18 / $3.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.85 / $3.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.54 / $3.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $4.26 / $5.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.92 / $3.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.94 / $2.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.11 / $5.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.10 / $3.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.10 / $2.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $5.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.10