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Oregon rates for HCPCS 62304

Myelography Via Lumbar Inject Rs&I Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $3,060.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $230.87 / $628.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.57 / $198.57 / $198.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $319.47 / $686.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.34 / $301.33 / $609.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.55 / $286.62 / $582.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.00 / $369.23 / $661.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.16 / $457.87 / $505.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.55 / $290.74 / $659.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.82 / $361.20 / $687.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.96 / $2,651.89 / $3,171.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.33 / $399.81 / $676.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.00 / $2,385.00 / $4,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.37 / $501.63 / $802.55