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Oregon rates for HCPCS L1755

Legg Perthes Orthotic, (Patten Bottom Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.75 / $1,071.27 / $6,826.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,395.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.57 / $3,778.34 / $4,927.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.96 / $1,465.85 / $1,783.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.22 / $1,676.65 / $1,872.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.83 / $1,741.87 / $1,962.04
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.30 / $1,783.67 / $2,229.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.96 / $1,530.04 / $1,872.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,561.84 / $1,962.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.06 / $2,966.18 / $6,257.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.96 / $1,962.04 / $1,962.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.61 / $889.85 / $1,697.72