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Oregon rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.73 / $1,985.50 / $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
$63.94 / $132.15 / $347.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.78 / $141.83 / $271.77
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.72 / $205.69 / $284.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.78 / $154.56 / $367.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.70 / $707.37 / $890.90
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$847.05 / $1,061.06 / $1,336.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $4,113.00 / $6,216.00