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Oregon rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $651.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.93 / $1.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.30 / $2.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.93 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $3.08 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.77