go back

Oregon rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.64 / $55.77 / $112.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.80 / $98.79 / $221.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.82 / $25.82 / $25.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $178.06 / $266.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.05 / $190.22 / $220.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.34 / $51.86 / $58.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.69 / $158.43 / $251.10
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.32 / $44.67 / $45.56
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.82 / $25.82 / $25.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.88 / $191.88 / $245.39
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$385.75 / $385.75 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.83 / $190.32 / $234.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.10 / $104.60 / $262.77