go back

Oregon rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.01 / $4,704.00 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.66 / $154.76 / $344.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $147.13 / $147.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.03 / $247.39 / $373.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.39 / $291.08 / $327.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.79 / $231.88 / $347.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.94 / $258.29 / $389.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.92 / $250.87 / $262.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.81 / $254.55 / $330.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.83 / $287.23 / $373.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.55 / $278.89 / $362.89
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
$138.94 / $266.69 / $407.48