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Oregon rates for HCPCS 66175

Trluml Dilat Aqueous O/F Can W/Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $9,972.00 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.00 / $971.00 / $971.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.51 / $1,516.55 / $1,685.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.81 / $1,498.90 / $3,013.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.53 / $1,444.52 / $2,131.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.72 / $1,698.30 / $2,382.10
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$296.66 / $296.66 / $296.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,762.34 / $13,653.30 / $19,565.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00