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Oregon rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.35 / $4,962.67 / $15,341.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.81 / $441.67 / $1,110.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.21 / $546.72 / $816.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.65 / $537.27 / $728.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.75 / $514.53 / $799.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.67 / $494.70 / $812.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.32 / $548.04 / $611.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.75 / $617.38 / $2,327.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.85 / $557.35 / $805.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.03 / $1,561.00 / $2,179.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.32 / $558.08 / $824.33
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
$455.27 / $676.16 / $925.60