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Oregon rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.58 / $8,952.00 / $32,689.00
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
$1,261.67 / $1,656.68 / $2,036.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.62 / $1,422.25 / $2,164.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.33 / $1,514.20 / $1,599.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.06 / $1,592.36 / $2,164.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,029.79 / $10,878.03 / $12,827.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.00 / $8,090.00 / $12,786.00