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Oregon rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $401.14 / $2,515.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $408.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $298.27 / $408.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.10 / $1,384.93 / $1,806.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.14 / $549.55 / $671.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.22 / $628.59 / $702.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.83 / $653.04 / $725.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.84 / $659.27 / $668.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.14 / $574.34 / $702.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $585.54 / $735.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.14 / $1,112.06 / $2,346.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.09 / $735.58 / $735.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.44 / $326.23 / $622.40