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Oregon rates for HCPCS L2795

Addition To Lower Extremity Orthosis Knee Control Full Kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.49 / $63.23 / $108.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.07 / $203.13 / $264.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $97.53 / $118.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $111.55 / $124.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.49 / $105.30 / $118.67
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.73 / $118.67 / $130.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.45 / $101.16 / $124.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $103.91 / $130.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.87 / $197.34 / $416.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.06 / $130.54 / $130.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.95 / $47.76 / $91.12