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Oregon rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.00 / $4,962.67 / $15,341.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $736.00 / $736.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.58 / $2,148.92 / $2,569.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.93 / $1,796.07 / $2,507.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.29 / $1,933.90 / $2,025.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.71 / $1,955.22 / $3,065.00
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$325.22 / $325.22 / $325.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,527.70 / $20,006.47 / $24,937.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $22,956.00