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Oregon rates for HCPCS M0248

Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the COVID-19 public health emergency

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,973.65 / $1,973.65 / $1,973.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.15 / $1,509.51 / $1,509.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,740.10 / $1,947.03 / $1,644,432.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.65 / $1,815.20 / $2,087.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.29 / $2,564.53 / $3,119.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.00 / $1,397.50 / $1,964.25