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Oregon rates for HCPCS J9320

Streptozocin 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.22 / $3,120.00 / $3,120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.22 / $1,263.59 / $1,326.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.22 / $356.22 / $712.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,326.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.49 / $383.64 / $486.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.10 / $460.99 / $1,851.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.50 / $317.82 / $481.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.35 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.63 / $436.54 / $1,716.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.15 / $436.54 / $1,326.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.38 / $592.29 / $1,352.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.22 / $356.22 / $356.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,508.00