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Oregon rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,288.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $588.84 / $588.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,659,586.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $758.58 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,174.90 / $6,165.95