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Oregon rates for HCPCS E2630

Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.80 / $690.80 / $690.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.98 / $395.98 / $2,279.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.96 / $647.96 / $647.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.01 / $605.17 / $647.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.50 / $608.58 / $2,214.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.98 / $809.13 / $923.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $692.39 / $798.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.72 / $794.43 / $980.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.98 / $647.96 / $923.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.17 / $695.02 / $868.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.74 / $1,116.74 / $1,313.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.46 / $757.46 / $757.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.53 / $379.17 / $738.56