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Oregon rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.18 / $528.69 / $2,755.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $451.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.49 / $1,546.13 / $2,016.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.69 / $724.31 / $869.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.32 / $782.34 / $869.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.34 / $848.90 / $956.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.55 / $690.55 / $690.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $676.72 / $869.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $761.17 / $956.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.26 / $956.20 / $956.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.86 / $364.09 / $694.63