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Oregon rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.15 / $302.82 / $1,185.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $246.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.37 / $834.50 / $1,088.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.39 / $404.66 / $504.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.35 / $479.57 / $530.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.71 / $492.98 / $544.91
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.33 / $504.81 / $504.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.91 / $430.31 / $530.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $442.03 / $555.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.58 / $839.48 / $1,771.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.14 / $555.29 / $555.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.96 / $196.49 / $374.88