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Oregon rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.04 / $6,407.01 / $13,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.87 / $813.92 / $1,682.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.00 / $1,405.17 / $2,190.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.06 / $1,498.62 / $1,844.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.83 / $1,126.79 / $1,937.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.68 / $1,300.48 / $2,082.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.48 / $1,462.09 / $1,573.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.51 / $1,241.66 / $5,370.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.93 / $1,486.31 / $2,005.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,573.85 / $5,897.44 / $7,048.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.48 / $1,592.62 / $2,223.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,130.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.49 / $1,478.75 / $2,351.44