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Oregon rates for HCPCS Q9992

Injection Buprenorphine Extended-Release (Sublocade) Greater Than 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $1,976.55 / $4,032.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.32 / $2,016.42 / $6,049.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,733.69 / $3,850.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,187.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.02 / $4,340.13 / $5,082.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,883.48 / $4,335.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,137.41 / $2,621.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,961.56 / $2,016.42 / $4,185.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,733.69 / $4,335.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,358.73 / $2,428.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.61 / $3,046.49 / $6,889.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42