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Oregon rates for HCPCS C2622

Prosthesis, Penile, Non-Inf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,768.95 / $3,768.95 / $5,033.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,768.95 / $3,957.40 / $5,163.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,768.95 / $3,768.95 / $5,389.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00