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Oregon rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $117.49 / $147.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $53.70 / $69.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $57.54 / $77.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $69.18 / $70.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $70.79 / $70.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $54.95 / $79.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $67.61 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $100.00 / $275.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $51.29 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $26.92 / $51.29