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Oregon rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.61 / $4,684.68 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $82.17 / $229.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.73 / $75.73 / $1,937.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.05 / $142.40 / $209.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.02 / $146.47 / $182.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.12 / $121.68 / $204.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.61 / $130.50 / $192.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.45 / $138.03 / $160.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.18 / $126.56 / $204.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.16 / $148.50 / $200.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,539.74 / $4,743.41 / $5,709.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $150.47 / $203.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.00 / $4,880.00 / $7,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.53 / $164.56 / $234.85