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Oregon rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.48 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.78 / $1,429.95 / $5,795.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.79 / $2,368.36 / $3,219.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.59 / $2,500.11 / $2,814.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.95 / $2,251.48 / $3,356.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.14 / $1,983.30 / $3,495.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.13 / $2,103.12 / $2,253.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.95 / $2,465.14 / $3,074.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.01 / $2,563.96 / $3,219.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,024.56 / $6,024.56 / $6,024.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.70 / $2,686.32 / $3,434.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.16 / $2,524.23 / $3,447.05