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Oregon rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.03 / $106.03 / $106.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.59 / $96.41 / $121.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $56.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.73 / $285.41 / $339.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.00 / $123.40 / $292.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.51 / $253.51 / $253.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.03 / $219.62 / $241.87
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.03 / $196.03 / $196.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $106.05 / $315.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $248.30 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.52 / $272.07 / $471.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.76 / $280.95 / $365.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $78.17 / $130.28