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Oregon rates for HCPCS L1940

Ankle-Foot Orthotic (Afo), Plastic Or Other Material, Custom Fab

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.17 / $359.04 / $524.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $372.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.97 / $1,180.36 / $1,539.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.04 / $491.88 / $598.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.02 / $562.62 / $628.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.09 / $557.15 / $612.87
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.47 / $557.15 / $598.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.74 / $513.42 / $628.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $524.09 / $658.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.66 / $995.32 / $2,099.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.74 / $658.38 / $658.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.57 / $277.95 / $530.30