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Oregon rates for HCPCS 22630

Arthrodesis Posterior Interbody 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $7,920.26 / $23,856.49
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
$2,833.37 / $3,327.04 / $3,981.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.32 / $2,770.78 / $3,779.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.80 / $2,994.12 / $3,175.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.32 / $2,861.28 / $4,026.21
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$603.34 / $603.34 / $603.34
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$512.84 / $512.84 / $512.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,843.42 / $64,639.61 / $78,393.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $26,100.00 / $51,981.00