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Oregon rates for HCPCS 00864

Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy

Insurance Carrier
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$366.30 / $366.30 / $366.30
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$366.30 / $366.30 / $366.30
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$366.30 / $366.30 / $366.30