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Oregon rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.13 / $31.13 / $31.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $30.18 / $37.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $83.81 / $99.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.72 / $36.24 / $85.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.44 / $74.44 / $74.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.81 / $64.48 / $71.02
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.81 / $53.81 / $53.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $31.14 / $92.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $72.80 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.04 / $79.90 / $138.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.92 / $82.50 / $107.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $22.95 / $38.25