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Oregon rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $72.00 / $73.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.33 / $105.98 / $574.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $121.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $88.93 / $121.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.52 / $373.57 / $487.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.84 / $145.00 / $181.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $165.86 / $176.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.06 / $172.31 / $194.10
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $176.45 / $194.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.84 / $151.54 / $185.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $154.50 / $194.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.00 / $293.42 / $619.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.75 / $194.10 / $194.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.86 / $88.03 / $167.94