go back

Oregon rates for HCPCS 31622

Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.45 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$131.81 / $160.19 / $310.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.34 / $299.14 / $671.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.22 / $368.38 / $674.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.78 / $335.71 / $613.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.86 / $383.31 / $824.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.24 / $401.36 / $692.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.27 / $461.63 / $584.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.86 / $474.99 / $1,738.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.29 / $402.05 / $679.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,032.32 / $5,176.14 / $6,353.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.25 / $454.51 / $700.20
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
$365.17 / $598.22 / $786.23