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Oregon rates for HCPCS 23395

Muscle Transfer Shoulder/Upper Arm Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.00 / $1,184.00 / $1,184.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,385.04 / $2,794.12 / $3,351.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.09 / $2,326.86 / $3,124.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.84 / $2,461.58 / $2,596.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.45 / $2,564.86 / $7,090.00
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$486.94 / $486.94 / $486.94
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$413.90 / $413.90 / $413.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,860.72 / $22,602.85 / $28,333.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00