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Oregon rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.44 / $4,684.68 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.64 / $165.56 / $393.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.32 / $305.47 / $474.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.28 / $325.85 / $411.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.98 / $249.10 / $392.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.83 / $281.81 / $450.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.26 / $308.87 / $359.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.98 / $269.02 / $616.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.80 / $327.36 / $448.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.57 / $1,274.82 / $1,579.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.56 / $349.14 / $504.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.30 / $323.39 / $506.47