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Oregon rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $45.33 / $19,514.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $37.36 / $49.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $60.17 / $71.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $41.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.74 / $79.54 / $101.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $38.09 / $78.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $41.72 / $47.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.93 / $36.28 / $75.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $41.58 / $78.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $41.58 / $46.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.03 / $53.80 / $121.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $39.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $41.72