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Oregon rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.09 / $19.09 / $19.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $17.36 / $21.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $28.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $51.40 / $61.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $22.22 / $52.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.65 / $45.65 / $45.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $42.94 / $53.81
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
$11.68 / $21.94 / $56.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $45.50 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.89 / $48.99 / $84.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.33 / $50.59 / $65.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $14.08 / $23.46