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Oregon rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $28.72 / $138.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $27.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.51 / $93.04 / $121.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $39.35 / $47.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $45.48 / $50.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $47.87 / $52.66
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.08 / $47.87 / $54.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $41.07 / $50.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $41.92 / $52.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.89 / $79.62 / $167.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.17 / $52.66 / $52.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.57 / $21.86 / $41.70