go back

Oregon rates for HCPCS J9295

Injection Necitumumab 1 Mg (Reinstated 01/01/2017). Polyestradiol Phosphate 40 Mg (Del 03/31/2003).

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $7.16 / $11.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.79 / $9.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $9.74 / $11.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $6.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $12.82 / $16.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $6.02 / $12.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $6.76 / $7.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $7.16 / $17.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $7.14 / $12.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $7.16 / $7.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $9.18 / $20.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $6.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $6.65