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Oregon rates for HCPCS L2650

Addition To Lower Extremity Pelvic And Thoracic Control Gluteal Pad Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $108.13 / $434.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $82.02 / $112.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.18 / $286.20 / $373.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.13 / $138.85 / $180.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.03 / $169.44 / $189.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.03 / $162.22 / $180.26
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $180.26 / $198.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.24 / $153.66 / $189.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $157.84 / $198.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.18 / $299.76 / $632.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $198.29 / $198.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.49 / $67.45 / $128.68