go back

Oregon rates for HCPCS A4550

Surgical Trays (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $11.20 / $89.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.82 / $46.55 / $55.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $37.79 / $51.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $13,910.16 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $35.89 / $39.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $40.02 / $52.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $46.91 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.15 / $41.54 / $59.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $12.77 / $21.14