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Oregon rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.14 / $2,183.73 / $7,920.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.43 / $899.85 / $1,362.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.08 / $836.78 / $1,309.03
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.25 / $1,034.14 / $1,149.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.08 / $836.78 / $1,431.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,719.37 / $4,090.62 / $6,069.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,385.00 / $7,480.00