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Oregon rates for HCPCS A4652

Microcapillary tube sealant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.40 / $3.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $3.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $79.43