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Oregon rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.94 / $196.94 / $343.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $67.15 / $67.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.38 / $128.38 / $229.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.20 / $63.20 / $63.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $173.29 / $207.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.25 / $82.95 / $173.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $86.90 / $110.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $88.48 / $138.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.09 / $100.33 / $191.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $110.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.00 / $240.40 / $310.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.17 / $155.15 / $248.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $33.18 / $94.80