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Oregon rates for HCPCS G0412

Open Treatment Of Iliac Spine(S) Tuberosity Avulsion Or Iliac Wing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.10 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.08 / $1,578.07 / $1,892.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.02 / $1,346.14 / $1,741.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.85 / $1,388.24 / $1,469.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.36 / $1,378.08 / $1,865.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,397.43 / $20,285.91 / $26,041.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $18,628.00 / $26,255.00