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Oregon rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $33.22 / $172.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $29.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $29.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $94.46 / $123.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $45.51 / $55.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.17 / $52.06 / $58.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.95 / $49.84 / $55.38
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $49.84 / $55.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.74 / $47.20 / $58.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $48.49 / $60.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.14 / $92.10 / $194.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $60.92 / $60.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $22.32 / $42.78