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Oregon rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.58 / $4,684.68 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.15 / $166.89 / $515.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.37 / $241.30 / $339.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.46 / $236.36 / $297.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.53 / $234.89 / $297.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.77 / $209.45 / $368.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.74 / $231.82 / $251.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.53 / $247.02 / $317.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.76 / $245.78 / $340.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.00 / $773.56 / $1,044.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.16 / $249.11 / $350.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $1,078.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.15 / $266.01 / $393.63