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Oregon rates for HCPCS L3002

Foot Insert Removable Molded To Patient Model Plastazote Or Equal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.53 / $113.93 / $547.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $98.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.94 / $367.89 / $479.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.15 / $156.08 / $189.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.22 / $178.53 / $199.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.76 / $189.93 / $208.92
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.88 / $189.93 / $196.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.93 / $162.91 / $199.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $166.31 / $208.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.24 / $315.83 / $666.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.34 / $208.92 / $208.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.85 / $86.72 / $165.45