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Oregon rates for HCPCS B9004

Parenteral Nutrition Infusion Pump Portable (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.18 / $3,049.99 / $10,562.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,482.15 / $7,754.14 / $9,292.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.77 / $3,660.81 / $4,361.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.53 / $3,477.77 / $3,843.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.73 / $3,575.01 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,575.01 / $3,575.01 / $3,660.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.36 / $3,484.42 / $4,361.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $3,484.42 / $2,250,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.37 / $9,910.76 / $14,267.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,013.12 / $5,397.93 / $9,362.95