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Oregon rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $46.21 / $222.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.93 / $142.76 / $186.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.21 / $63.31 / $77.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.27 / $72.42 / $80.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.14 / $75.06 / $82.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.14 / $75.06 / $77.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.58 / $66.08 / $80.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $67.45 / $84.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.18 / $128.10 / $270.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.25 / $84.74 / $84.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.02 / $33.65 / $64.48