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Oregon rates for HCPCS L3500

Orthopedic Shoe Addition Insole Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.64 / $99.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $23.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $66.76 / $87.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $28.28 / $34.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.57 / $32.68 / $36.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $34.40 / $39.15
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $35.09 / $43.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.64 / $29.52 / $36.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $30.12 / $37.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.66 / $57.20 / $120.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.58 / $37.84 / $37.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $15.57 / $15.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $15.71 / $30.11