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Oregon rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,536.39 / $5,116.62 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.60 / $3,104.66 / $8,204.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,664.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.69 / $4,342.92 / $6,396.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,601.42 / $4,728.99 / $5,769.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.62 / $4,059.76 / $6,277.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,436.20 / $4,068.70 / $6,785.91
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,860.36 / $4,387.18 / $4,628.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,513.53 / $4,608.49 / $6,277.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,856.63 / $4,993.80 / $6,543.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,939.04 / $11,939.04 / $11,939.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,230.79 / $5,391.69 / $6,517.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.00 / $7,664.00 / $31,303.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,308.96 / $4,829.76 / $7,179.79