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Oregon rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $63.10 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $52.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $60.26 / $97.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $131.83