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Oregon rates for HCPCS L3253

Foot Molded Shoe Plastazote (Or Similar) Custom Fitted Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.43 / $26.43 / $26.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $24.04 / $30.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $71.16 / $84.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.69 / $30.77 / $72.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.20 / $63.20 / $63.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.50 / $59.46 / $93.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.20 / $93.20 / $93.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.17 / $30.37 / $78.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $63.20 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.23 / $67.81 / $117.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.77 / $70.05 / $91.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $19.48 / $32.47