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Oregon rates for HCPCS 24301

Muscle/Tendon Transfer Upper Arm/Elbow Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.13 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.00 / $1,040.00 / $1,040.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.08 / $1,650.49 / $1,980.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.01 / $1,371.44 / $1,822.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.13 / $1,436.48 / $1,528.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.01 / $1,504.66 / $5,949.00
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$243.97 / $243.97 / $243.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,860.72 / $21,418.17 / $26,781.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00