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Oregon rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.31 / $4,962.67 / $15,341.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.15 / $479.27 / $916.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $736.00 / $736.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.10 / $716.89 / $1,045.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.71 / $749.99 / $886.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.27 / $701.24 / $937.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.48 / $644.17 / $931.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.75 / $674.95 / $741.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.27 / $764.58 / $2,919.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.95 / $749.10 / $978.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,914.95 / $21,418.17 / $26,781.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.47 / $829.67 / $1,115.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $9,529.00 / $26,830.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.03 / $730.38 / $1,113.03