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Oregon rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,568.52 / $3,134.05 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $1,718.29 / $6,732.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.75 / $2,708.10 / $3,842.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,040.53 / $2,904.64 / $3,306.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.29 / $2,545.67 / $3,694.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.77 / $2,633.73 / $4,162.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.57 / $2,455.69 / $2,617.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.29 / $2,761.09 / $3,626.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.07 / $3,016.22 / $3,980.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,835.49 / $6,835.49 / $6,835.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.16 / $3,141.74 / $4,138.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,979.64 / $2,664.90 / $4,092.68