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Oregon rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.81 / $383.29 / $1,931.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $313.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.28 / $1,063.91 / $1,387.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.29 / $515.29 / $638.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.10 / $600.63 / $670.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.41 / $552.40 / $638.97
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.18 / $638.97 / $638.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.12 / $544.66 / $670.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $559.50 / $702.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.35 / $1,062.58 / $2,241.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.51 / $702.87 / $702.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.82 / $250.53 / $480.18