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Oregon rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.34 / $4,283.46 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $3,699.28 / $10,019.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.58 / $2,548.48 / $8,380.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.14 / $2,606.63 / $6,930.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.99 / $2,606.63 / $8,007.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.05 / $3,968.43 / $8,677.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.31 / $5,066.16 / $6,043.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.99 / $4,805.06 / $7,984.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.95 / $3,738.54 / $8,339.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,927.24 / $16,067.82 / $19,370.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.69 / $556.51 / $8,247.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $18,628.00 / $26,255.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,789.93 / $7,429.47 / $9,261.24