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Oregon rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.50 / $55,975.20 / $55,975.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,229.71 / $24,069.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,228.42 / $24,228.42 / $47,578.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,125.82 / $4,969.74 / $6,299.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,762.43 / $23,789.46 / $33,218.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,881.20 / $2,985.03 / $31,496.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,784.53 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,948.11 / $26,766.00 / $33,218.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $27,468.75 / $29,153.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,856.35 / $36,321.37 / $82,140.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $26,821.45