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Oregon rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,213.00 / $7,075.33 / $19,234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,704.00 / $4,704.00 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,664.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.97 / $205.97 / $205.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $178.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.54 / $369.00 / $591.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,644,131.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.45 / $710.18 / $914.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.75 / $2,052.50 / $2,219.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.00 / $1,078.00 / $5,183.00