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Oregon rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $223.36 / $812.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $211.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $715.90 / $933.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.07 / $303.58 / $369.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.66 / $347.25 / $387.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.23 / $369.41 / $406.35
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.47 / $369.41 / $382.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $316.87 / $387.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $323.47 / $416.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.77 / $614.32 / $1,296.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.69 / $406.35 / $406.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.77 / $168.68 / $321.82