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Oregon rates for HCPCS A6025

Gel Sheet For Dermal Or Epidermal Application (E.G. Silicone Hydrogel Other) Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.39 / $14.39 / $14.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $12.97 / $15.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.41 / $38.65 / $45.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.99 / $29.76 / $43.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $29.81 / $32.83
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.99 / $33.45 / $43.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $40.86 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.50 / $49.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.61 / $17.68