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Oregon rates for HCPCS L2630

Addition To Lower Extremity Pelvic Control Band And Belt Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.10 / $176.77 / $1,073.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $174.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.28 / $590.91 / $770.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.77 / $242.17 / $294.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.11 / $277.00 / $309.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.91 / $294.68 / $371.96
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.20 / $294.68 / $371.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.72 / $253.09 / $309.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $258.02 / $324.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.51 / $490.04 / $1,033.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.42 / $324.14 / $324.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.00 / $139.18 / $265.52