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Oregon rates for HCPCS A4649

Surgical Supply; Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $3,613.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $289.60 / $310.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.75 / $168.75 / $609.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.50 / $240.50 / $240.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,700,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $12.77 / $12.77