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Oregon rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.65 / $743.30 / $743.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $370.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.44 / $643.44 / $643.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $364.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.81 / $286.45 / $363.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.81 / $319.62 / $662.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.85 / $169.26 / $267.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.34 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.81 / $320.08 / $663.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.77 / $383.61 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.61 / $322.66 / $803.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $356.17