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Oregon rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.53 / $459.18 / $10,516.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.68 / $302.60 / $630.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.03 / $321.91 / $540.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.88 / $320.30 / $489.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.51 / $311.00 / $525.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.98 / $315.95 / $541.91
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.01 / $352.42 / $412.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.51 / $342.24 / $525.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.70 / $339.08 / $523.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,206.26 / $2,673.00 / $3,393.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.82 / $346.27 / $533.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,130.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.38 / $444.24 / $593.39