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Oregon rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,380.38 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $1,445.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $707.95 / $1,318.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $676.08 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,570.88 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,715.35 / $7,413.10