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Oregon rates for HCPCS J9270

Plicamycin 2.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.74 / $197.48 / $197.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $81.95 / $98.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $91.16 / $104.30
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
$81.95 / $92.32 / $176.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $98.74 / $98.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.74 / $98.74 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.95 / $92.32 / $182.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.40 / $173.10 / $367.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $98.74 / $113.55