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Oregon rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.11 / $9,972.00 / $20,400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.32 / $2,259.55 / $2,544.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.02 / $1,926.51 / $2,758.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.96 / $1,842.29 / $2,007.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.02 / $2,195.35 / $2,559.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,039.76 / $15,838.63 / $18,619.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00