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Oregon rates for HCPCS 15100

Split Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.64 / $1,919.79 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.30 / $812.53 / $1,821.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.49 / $1,540.23 / $2,401.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.11 / $1,642.80 / $2,021.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.11 / $1,229.55 / $2,050.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.09 / $1,418.10 / $2,300.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.92 / $1,580.15 / $1,750.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.88 / $1,360.53 / $3,010.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.04 / $1,638.81 / $2,214.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,573.85 / $5,897.44 / $7,222.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.93 / $1,764.90 / $2,470.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,517.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.44 / $1,614.61 / $2,567.46