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Oregon rates for HCPCS 63055

Transpedicular Dcmprn Spinal Cord 1 Seg Thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.00 / $2,211.00 / $2,211.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,930.11 / $3,446.50 / $4,117.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.25 / $2,869.98 / $3,916.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,305.73 / $3,101.62 / $3,308.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.25 / $2,896.52 / $4,202.97
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$620.04 / $620.04 / $620.04
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$527.04 / $527.04 / $527.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,860.72 / $22,602.85 / $26,781.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $18,628.00 / $26,255.00