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Oregon rates for HCPCS 21390

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.28 / $12,274.80 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.22 / $1,750.21 / $2,099.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.04 / $1,453.90 / $1,951.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.08 / $1,530.95 / $1,617.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.04 / $1,483.92 / $2,062.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,671.70 / $18,246.18 / $21,922.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00