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Oregon rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.47 / $201.01 / $991.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $138.63 / $189.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.56 / $643.46 / $839.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.01 / $275.38 / $335.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.14 / $314.98 / $351.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.95 / $327.24 / $364.57
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $335.09 / $335.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $287.44 / $351.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $293.42 / $368.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.18 / $557.24 / $1,175.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.18 / $368.60 / $368.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.86 / $151.62 / $289.27