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Oregon rates for HCPCS 21750

Close Median Sternotomy Sep W/Wo Debridement Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.85 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.32 / $1,433.62 / $1,700.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.53 / $1,255.67 / $1,683.99
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.40 / $1,290.16 / $1,354.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.53 / $1,290.30 / $1,723.92
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$219.07 / $219.07 / $219.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,397.43 / $20,285.91 / $26,041.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $18,628.00 / $26,255.00