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Oregon rates for HCPCS J9208

Ifosfamide 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $32.10 / $50.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.21 / $40.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $42.57 / $49.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $29.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.09 / $54.76 / $71.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $36.14 / $70.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.72 / $33.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $29.01 / $75.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $32.64 / $70.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $31.34 / $34.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.16 / $142.16 / $142.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $27.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $28.98