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Oregon rates for HCPCS L1250

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

Facilitymedian $83 · 10th–90th $65$850%50%10th90th$83Professionalmedian $54 · 10th–90th $40$950%10%20%10th90th$54$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $47.86 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $181.97 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $87.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $69.18 / $95.50
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $83.18 / $85.11
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $85.11 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $74.13 / $102.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $79.43 / $91.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $134.90 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $95.50 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $45.71 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $40.74 / $77.62