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Oregon rates for HCPCS 54112

Exc Penile Plaque Graft > 5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,053.01 / $5,649.00 / $15,341.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.24 / $2,137.38 / $2,406.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.80 / $1,985.78 / $2,846.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.51 / $1,772.43 / $1,872.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.80 / $2,255.94 / $3,274.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,740.27 / $29,241.94 / $36,485.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00