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Oregon rates for HCPCS C9364

Porcine Implant Permacol Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.95 / $21.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
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
$17.95 / $17.95 / $38.59
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
$17.95 / $18.85 / $38.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $2,400,000.00