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Oregon rates for HCPCS A6505

Compression Burn Garment Glove To Elbow Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $98.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $161.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.43 / $147.43 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.43 / $147.43 / $147.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $161.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $2,250,000.00 / $2,400,000.00