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Oregon rates for HCPCS 96004

Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report

Facilitymedian $204 · 10th–90th $117–$2450%20%10th90th$204Professionalmedian $141 · 10th–90th $100–$3390%10%10th90th$141$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $245.47 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $114.82 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $269.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $162.18 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $316.23
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $208.93 / $223.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $162.18 / $257.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $208.93 / $288.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $223.87 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $218.78 / $316.23