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Oregon rates for HCPCS 77089

Tbs Dxa/Other Img Calculation W/I&R Fx Risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.31 / $90.26 / $214.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $44.39 / $71.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.11 / $45.11 / $45.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.36 / $80.81 / $118.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.77 / $93.82 / $108.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.46 / $55.93 / $108.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $84.63 / $127.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.77 / $78.77 / $81.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $96.36 / $117.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.84 / $89.76 / $118.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.42 / $95.03 / $114.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.48 / $57.59 / $123.85