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Oregon rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.59 / $7,920.26 / $30,593.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $5,022.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.02 / $858.84 / $1,102.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.38 / $715.40 / $1,139.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.99 / $833.30 / $911.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.38 / $766.54 / $1,227.34
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