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Oregon rates for HCPCS L1290

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $54.26 / $340.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $60.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $60.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $187.50 / $244.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $74.34 / $90.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.26 / $85.02 / $94.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.80 / $88.33 / $97.41
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.41 / $88.55 / $90.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $77.69 / $94.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $79.20 / $99.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $150.41 / $317.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.79 / $99.50 / $99.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.66 / $141.66 / $188.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.20 / $44.18 / $84.28