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Oregon rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $33.46 / $159.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $33.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $107.24 / $139.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.81 / $45.47 / $55.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $52.02 / $58.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.93 / $55.34 / $60.87
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.34 / $55.34 / $57.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.19 / $47.46 / $58.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $48.45 / $60.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.10 / $92.02 / $194.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.59 / $60.87 / $60.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $25.27 / $48.44