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Oregon rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.27 / $81.37 / $415.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.88 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $86.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.84 / $286.93 / $374.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.27 / $111.34 / $138.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.74 / $125.69 / $142.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.55 / $135.49 / $180.65
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.94 / $135.49 / $180.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.27 / $118.64 / $142.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $118.64 / $149.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.88 / $225.30 / $475.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.52 / $149.04 / $149.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $67.59 / $128.96