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Oregon rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $7,283.00 / $26,588.91
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
$1,717.34 / $2,255.03 / $2,739.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.06 / $2,079.51 / $3,492.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.95 / $2,092.04 / $2,213.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.98 / $2,533.19 / $3,174.68
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$424.37 / $424.37 / $424.37
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$360.71 / $360.71 / $360.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,680.30 / $11,200.37 / $35,837.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $17,375.00 / $26,255.00