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Oregon rates for HCPCS 21400

Clsd Tx Fx Orbit Except Blowout W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.48 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.94 / $221.19 / $583.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $736.00 / $736.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.17 / $362.72 / $575.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.90 / $438.90 / $549.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.21 / $316.82 / $468.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.63 / $334.66 / $556.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.95 / $364.10 / $443.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.91 / $320.44 / $649.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.36 / $398.82 / $561.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.03 / $1,561.00 / $2,179.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.58 / $425.54 / $581.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.58 / $386.60 / $622.25