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Oregon rates for HCPCS A4500

Surgical Stockings Below Knee Length Each (Not Covered By Medicare. See Cim: 60-9 And Mcm: 2133 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.65 / $3.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $7.89 / $9.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $6.20 / $8.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.61 / $6.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $6.82 / $9.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $7.95 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $10.01 / $13.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $7.04 / $10.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.17 / $3.58