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Oregon rates for HCPCS A6412

Eye Patch Occlusive Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.28 / $0.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.79 / $0.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.62 / $0.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.61 / $0.67
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.66 / $0.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.76 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.70 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.36