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Oregon rates for HCPCS 28715

Arthrodesis Triple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $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
$1,761.68 / $2,063.50 / $2,475.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.74 / $1,772.61 / $2,579.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.11 / $1,796.94 / $1,902.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.74 / $1,886.88 / $3,397.00
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$357.69 / $357.69 / $357.69
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$304.02 / $304.02 / $304.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,543.33 / $44,586.59 / $52,124.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $18,628.00 / $26,255.00