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Oregon rates for HCPCS J9050

Carmustine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $302.13 / $532.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.00 / $238.46 / $532.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $291.20 / $433.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $269.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.22 / $414.61 / $671.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $246.83 / $990.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $252.76 / $310.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $262.31 / $1,065.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $262.31 / $990.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $413.59 / $561.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.09 / $1,141.25 / $5,490.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $262.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $274.23