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Oregon rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $967.40 / $967.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $401.47 / $689.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $822.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $178.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.47 / $427.27 / $863.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.27 / $427.27 / $427.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.94 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.47 / $427.27 / $863.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $503.85 / $534.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.27 / $640.91 / $1,383.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $403.08 / $463.54