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Oregon rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $486.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $209.78 / $297.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $172.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.19 / $335.78 / $389.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.40 / $166.86 / $227.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $168.45 / $198.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $198.65 / $476.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.87 / $185.30 / $297.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $183.39 / $187.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.99 / $426.14 / $577.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $182.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $182.76