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Oregon rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.10 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.62 / $370.00 / $804.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.66 / $521.91 / $770.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.34 / $559.63 / $641.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.00 / $494.73 / $712.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.00 / $473.22 / $735.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.29 / $514.96 / $574.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.50 / $494.73 / $762.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.24 / $568.96 / $772.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,820.30 / $4,901.89 / $6,016.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.10 / $603.02 / $837.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.50 / $595.02 / $921.01