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Oregon rates for HCPCS 28735

Arthrd Midtarsl/Tars Mlt/Transvrs W/Osteot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.39 / $7,920.26 / $14,691.47
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
$1,453.87 / $1,708.78 / $2,043.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.54 / $1,457.28 / $1,912.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.55 / $1,499.46 / $1,573.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.54 / $1,568.05 / $3,397.00
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$252.71 / $252.71 / $252.71
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