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Oregon rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Facilitymedian $7,762 · 10th–90th $4,677–$9,3330%20%10th90th$7,762Professionalmedian $4,898 · 10th–90th $4,677–$5,8880%50%10th90th$4,898$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,888.44 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,897.79 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,000.00 / $12,022.64
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,128.61 / $8,128.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,786.30 / $6,309.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $9,332.54 / $9,332.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,128.61 / $7,943.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $5,011.87 / $8,317.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,888.44 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,888.44