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Oregon rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,459.24 / $5,116.62 / $7,920.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,664.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,555.71 / $4,668.97 / $5,697.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,431.27 / $4,008.26 / $6,172.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,025.42 / $4,328.87 / $4,554.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.26 / $4,536.95 / $6,172.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,703.03 / $11,703.03 / $11,703.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.00 / $7,664.00 / $31,303.00