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Oregon rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $117.49 / $147.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $45.71 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $47.86 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $58.88 / $61.66
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $60.26 / $61.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $48.98 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $57.54 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $85.11 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $67.61 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $89.13 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $27.54 / $52.48