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Oregon rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $35.90 / $172.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $115.77 / $151.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.10 / $49.18 / $59.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.51 / $56.25 / $62.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $59.84 / $65.81
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.86 / $59.84 / $61.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $51.34 / $62.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $52.40 / $65.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.86 / $99.52 / $209.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $65.81 / $65.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $27.32 / $52.13