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Oregon rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.31 / $177.09 / $1,247.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $214.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.26 / $421.87 / $550.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.35 / $200.37 / $342.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.35 / $264.45 / $285.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.37 / $260.48 / $303.51
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.35 / $204.13 / $307.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.35 / $210.39 / $317.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $232.07 / $301.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.20 / $511.96 / $808.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.32 / $220.41 / $317.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.24 / $161.78 / $249.30