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Oregon rates for HCPCS L2387

Addition To Lower Extremity Polycentric Knee Joint For Custom Fabricated Knee Ankle Foot Orthosis Each Joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.47 / $137.25 / $717.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $116.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.15 / $394.88 / $515.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.65 / $188.03 / $228.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.11 / $215.06 / $240.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.60 / $205.08 / $228.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.44 / $228.79 / $228.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $196.49 / $240.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $200.34 / $251.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.62 / $380.48 / $802.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.76 / $251.67 / $251.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $92.18 / $119.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $93.02 / $177.46