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Oregon rates for HCPCS 00404

Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast

Insurance Carrier
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$244.20 / $244.20 / $244.20
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$244.20 / $244.20 / $244.20