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Oregon rates for HCPCS 25116

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Xtnsrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.32 / $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
$1,156.50 / $1,356.00 / $1,626.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.13 / $1,187.28 / $1,648.49
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.35 / $1,142.60 / $1,240.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.13 / $1,285.92 / $5,949.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,715.78 / $9,638.43 / $12,117.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $9,074.00 / $12,786.00