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Oregon rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $4,571 · 10th–90th $851–$24,5470%10%20%10th90th$4,571Professionalmedian $1,072 · 10th–90th $912–$1,2300%50%10th90th$1,072$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $7,943.28 / $25,703.96
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,623.41 / $8,511.38 / $14,125.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,071.52 / $1,230.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,000.00 / $9,549.93
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,623.41 / $8,511.38 / $14,125.38
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,096.48 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $1,479.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $23,442.29 / $28,183.83
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$25,118.86 / $35,481.34 / $42,657.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $19,054.61 / $31,622.78