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Oregon rates for HCPCS B4160

Enternal Formula For Pediatrics Nutritionally Complete Calorically Dense

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.34 / $0.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.49 / $1.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.80 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $1.07 / $2.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.09 / $1.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00