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Oregon rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.26 / $12,274.80 / $24,458.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $1,348.00 / $1,348.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.65 / $2,003.33 / $2,225.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.26 / $1,632.86 / $3,095.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.08 / $1,833.79 / $2,378.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.01 / $2,225.92 / $10,990.00
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$356.15 / $356.15 / $356.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,762.34 / $13,653.30 / $16,115.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00