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Oregon rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.88 / $988.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.31 / $437.68 / $967.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.60 / $689.81 / $1,055.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.94 / $832.62 / $964.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.18 / $651.11 / $899.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.02 / $634.59 / $1,022.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.42 / $680.05 / $787.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.18 / $655.50 / $1,001.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.46 / $748.37 / $1,026.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,715.78 / $9,638.43 / $12,117.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.78 / $856.64 / $1,105.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,130.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.40 / $776.30 / $1,230.92