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Oregon rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Facilitymedian $245 · 10th–90th $158–$7,9430%20%10th90th$245Professionalmedian $145 · 10th–90th $98–$3090%20%10th90th$145$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $5,370.32 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $208.93 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $177.83 / $234.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $6,606.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $177.83 / $309.03
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $190.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $169.82 / $263.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $213.80 / $288.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $691.83 / $6,309.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $239.88 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $4,897.79 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $309.03