go back

Oregon rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.92 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.00 / $2,211.00 / $2,211.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.54 / $281.02 / $332.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.65 / $261.19 / $341.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.68 / $252.91 / $274.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.65 / $264.27 / $344.96
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$43.57 / $43.57 / $43.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00