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Oregon rates for HCPCS 42120

Rescj Palate/Extensive Rescj Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,040.32 / $8,952.00 / $32,689.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.63 / $2,059.63 / $5,022.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.16 / $2,115.59 / $2,642.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.91 / $1,815.98 / $2,819.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.20 / $1,925.58 / $2,031.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.68 / $2,112.73 / $3,464.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,493.64 / $18,246.18 / $21,922.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.00 / $8,090.00 / $12,786.00