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Oregon rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $1,548.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,548.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,288.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,380.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $22,387.21 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,232.93 / $31,622.78