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Oregon rates for HCPCS L3260

Surgical Boot/Shoe Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.87 / $10.87 / $35.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $12.58 / $33.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $15.42 / $21.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.90 / $29.26 / $34.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $12.65 / $29.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $32.04 / $17,728.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $24.44 / $119.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $12.49 / $32.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $25.38 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.70 / $27.89 / $48.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $28.80 / $37.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $8.01 / $13.35