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Oregon rates for HCPCS A4680

Activated carbon filter, ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $34.93 / $43.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $93.75 / $123.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $56.34 / $106.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $92.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.59 / $87.20 / $88.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $58.68 / $115.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $2,250,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.57 / $98.01 / $122.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.58 / $47.29