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Oregon rates for HCPCS L2622

Addition To Lower Extremity Pelvic Control Hip Joint Adjustable Flexion Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.10 / $207.50 / $1,329.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $215.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.84 / $731.51 / $954.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.24 / $283.92 / $354.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.88 / $324.75 / $345.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.24 / $337.38 / $380.03
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.66 / $345.48 / $380.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.24 / $296.72 / $362.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $302.51 / $380.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.83 / $574.52 / $1,212.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.11 / $380.03 / $380.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.24 / $172.36 / $328.83