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Oregon rates for HCPCS 71250

Diagnostic Computed Tomography Thorax W/O Cntrst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.00 / $115.47 / $252.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.97 / $247.94 / $687.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.89 / $62.14 / $189.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$60.85 / $123.97 / $199.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.28 / $207.11 / $415.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.64 / $58.64 / $58.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.97 / $283.20 / $448.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.52 / $96.75 / $141.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.22 / $187.55 / $308.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.18 / $298.38 / $364.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.28 / $112.18 / $130.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.91 / $189.47 / $234.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.70 / $300.00 / $443.52
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.13 / $105.60 / $155.55
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.04 / $192.32 / $383.16
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.54 / $99.41 / $107.42
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $78.25 / $78.25
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.50 / $96.44 / $114.92
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.88 / $232.96 / $359.12
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.64 / $58.64 / $58.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.78 / $329.30 / $418.52
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.60 / $98.31 / $149.47
Providence
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$157.38 / $159.13 / $159.13
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.09 / $187.55 / $306.77
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$385.75 / $385.75 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.18 / $329.91 / $422.73
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.67 / $111.26 / $144.97
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.61 / $207.90 / $294.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.51 / $251.91 / $459.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.29 / $59.82 / $162.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.20 / $156.96 / $290.44