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Oregon rates for HCPCS A4736

Topical anesthetic, for dialysis, per g

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
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
$15.14 / $15.14 / $26.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $26.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $79.43