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Oregon rates for HCPCS L1220

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.29 / $183.16 / $960.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $185.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $135.50 / $185.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.74 / $528.40 / $689.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.16 / $250.93 / $305.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.03 / $287.02 / $320.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.36 / $274.81 / $305.33
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.23 / $305.33 / $305.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.50 / $260.27 / $320.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $267.36 / $335.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.39 / $507.76 / $1,071.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.58 / $335.87 / $335.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.49 / $124.52 / $237.56